| NPI | 1467850081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD GRANT RITCHEY Owner 913-845-3231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 6330) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-12-13 |
| Last Update Date | 2014-12-13 |