| NPI | 1457676827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NEAL WILLIAMS Dentist 316-684-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 5597) |
| Additional Taxonomies | 122300000X Dentist (Licence: KS 60536) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |