| NPI | 1881726107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MATTHEW ALEXANDER Secretary Treasurer 913-829-1438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |