| NPI | 1427469717 |
|---|---|
| Doing Business As | PRAIRIE SMILES FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ABIGAIL FAUL President 785-554-3872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |