| NPI | 1225559818 |
|---|---|
| Doing Business As | OTTAWA KANSAS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE JOHNSON President 785-766-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 61001) |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2022-07-21 |