NPI | 1265777064 |
---|---|
Entity Type | Organization |
Authorized Contact | LIZ H ELMORE Office Manager 620-665-5582 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 6348) |
Enumeration Date | 2012-12-05 |
Last Update Date | 2012-12-05 |