| NPI | 1043470107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT C WOOD Manager 785-856-2483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KS 60276) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |