| NPI | 1447620521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVI HANSEN President 316-722-6717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |