| NPI | 1225254295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CAROL SWIFT President 785-233-1756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: KS 60256) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |