| NPI | 1427029032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CONSIDINE Office Manager 620-728-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KS 4954) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-08-22 |