| NPI | 1194790873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN DOUGLAS MARCOTTE Owner 620-221-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 6511) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-08-22 |