| NPI | 1366432502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J WARREN HILDRETH President 785-456-7083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 431853634) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-08-22 |