| NPI | 1992821862 |
|---|---|
| Other Name | MICHAEL E. VANDENBERG DDS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E. VANDENBERG Owner 913-888-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |