| NPI | 1982953238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK BLACKNALL President 913-397-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60208) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |