BRAVE SERIES III
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1942160254- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 8650 W 95TH ST STE 1, OVERLAND PARK, KS, 662123246
- Phone
- (913) 800-9588
Specialties & Taxonomies
Dentist, Dentist Anesthesiologist Speciality
Dentist
Primary