| NPI | 1013452408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MCLAREN CEO 316-263-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: KS 5883) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2025-08-12 |