| NPI | 1083757595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD G BAUMWART President 620-325-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 4305) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |