| NPI | 1922231166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD DALLAM President 913-649-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 7182) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |