NPI | 1336581354 |
---|---|
Other Name | FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | LARRE LEE BETSWORTH Dentist/Owner 785-233-1162 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 6550) |
Enumeration Date | 2013-07-18 |
Last Update Date | 2013-07-18 |