NPI | 1265743934 |
---|---|
Doing Business As | BUNKALL ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | DAVID MICHAEL BUNKALL President 620-227-2234 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 60750) |
Enumeration Date | 2010-06-28 |
Last Update Date | 2010-06-28 |