| NPI | 1023343803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY B DEETER Owner/President 785-267-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 4522) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2009-10-12 |