| NPI | 1326564188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG FRANK HOFFMANN Owner/Provider 316-681-1099 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: KS 60398) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: KS 6545) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2021-08-04 |