| NPI | 1447360805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN R ANDERSON Owner 785-843-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-01-23 |