| NPI | 1093737983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KEVIN BONGERS President 785-762-4313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 5656) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |