| NPI | 1912033242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANN TUTTLE President 913-681-2893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 60245) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |