| NPI | 1952936437 |
|---|---|
| Doing Business As | RECONSTRUCTIVE & IMPLANT DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | EDNA P JOHNSON Office Manager 913-492-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |