NPI | 1033197090 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH L WILLIAMS President 620-431-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 6093) |
Enumeration Date | 2006-01-09 |
Last Update Date | 2014-01-23 |