| NPI | 1881711083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DEAN ZUCK President 913-381-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 4570) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |