| NPI | 1306076971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP CHARLES GAUS Manager/Member 785-856-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 6706) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |