| NPI | 1396734737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MEREDITH BRANSTROM Executive Director 785-312-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: KS 60218) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2014-11-05 |