| NPI | 1245710193 |
|---|---|
| Doing Business As | OLATHE SOUTH DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | THERESA RAWALT Owner 913-286-4548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2022-05-11 |