NPI | 1063927135 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA D RICE Dentist/Owner 620-221-7737 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 60987) |
Enumeration Date | 2017-12-11 |
Last Update Date | 2025-10-09 |