| NPI | 1982926804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA MARIE CANZONERE Dentist/Owner 913-341-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 60394) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |