| NPI | 1235205519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED L PILE Vice President 620-231-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60347) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |