| NPI | 1265530927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R WHITLOW President 620-663-1141 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 6423) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-08-13 |