| NPI | 1902250954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT V HERWIG Owner/President 913-492-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 5768) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |