| NPI | 1134182686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN F TWIETMEYER Owner 316-540-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 5739) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2020-08-22 |