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 |