| NPI | 1144304643 |
|---|---|
| Doing Business As | EMPORIA ORAL SURGERY, OTTAWA ORAL SURGERY, LAWRENCE ORAL |
| Entity Type | Organization |
| Authorized Contact | BRENDAN T. FARRELL Oral Surgeon 785-843-5490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 6641) |
| Additional Taxonomies | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 6112) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 60789) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-01-18 |