| NPI | 1194921502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG B LASHLEY Owner/Dentist 316-773-1177 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 7127) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: KS 7127) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2008-07-15 |