| NPI | 1467757039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LEIKER CEO 620-792-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KS 60176) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |