| NPI | 1114106739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA VINCENT Office Manager 785-841-2902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 6362) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2009-11-30 |