| NPI | 1043629264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD NOMANI President 785-539-7429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: KS 701) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |