| NPI | 1326726845 |
|---|---|
| Doing Business As | DRIFTWOOD DENTAL |
| Entity Type | Organization |
| Authorized Contact | STEVEN MICHAEL HASSENPLUG Dentist 620-252-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-11 |