| NPI | 1225464019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W SCHUYLER Sole Member 316-684-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 5897) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |