NPI | 1427268036 |
---|---|
Entity Type | Organization |
Authorized Contact | DON C GORDY Orthodontist 785-843-3183 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KS 5265) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2008-08-13 |