| NPI | 1083902928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANSEN RICHINS President 405-535-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: WA DE 60230330) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |