| NPI | 1033507645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLDEN L CORRELL Dentist 785-271-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 61008) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2018-10-22 |