| NPI | 1457634594 |
|---|---|
| Doing Business As | KAHOKA DENTAL |
| Entity Type | Organization |
| Authorized Contact | ANDREW GRIMM Executive Director 660-627-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: MO 2007014537) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2022-01-17 |