| NPI | 1922733088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE HENNING Senior Finance Administrator 913-469-9723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-07-21 |