| NPI | 1336537786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J GREENWOOD Owner/Dentist 620-856-2173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: KS 5590) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |