| NPI | 1962825927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN HOVERMAN Owner / Operator 316-530-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 60251) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |