| NPI | 1285054148 |
|---|---|
| Doing Business As | FAMILY DENTAL CARE OF OLATHE |
| Entity Type | Organization |
| Authorized Contact | EDMONDS LORI Credentialing Coordinator 217-540-8468 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2016-04-29 |