| NPI | 1437345170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKIE L GALE President/Treasurer 913-764-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60211) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2007-09-17 |