| NPI | 1417435330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PAUL HOULIK Dentist/Owner 316-644-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 61159) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |