NPI | 1194938795 |
---|---|
Former Legal Business Name | WILLITS AND WOLTKAMP DDS, PA |
Entity Type | Organization |
Authorized Contact | RICHARD HAROLD WILLITS President 913-851-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 4882) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2011-05-04 |