| NPI | 1164457206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CONSIDINE Office Manger 620-728-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KS 4954) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-09-18 |