| NPI | 1124138656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D. HUNGERFORD Owner/Dentist 785-539-5949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 5455) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: KS 6293) |
| 1223G0001X Dentist General Practice (Licence: KS 60132) | |
| 1223G0001X Dentist General Practice (Licence: KS 60262) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-10-26 |