| NPI | 1326149196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN K EVANS CEO/Owner 620-663-5297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 6173) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |