| NPI | 1265743934 |
|---|---|
| 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 |