| NPI | 1114930617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY EILEEN COLE Office Manager 785-665-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 5173) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |