| NPI | 1417476847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG F HOFFMAN Owner 316-681-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: KS 6545) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: KS 60398) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |