| NPI | 1477897155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS K WILSON Proprietor 785-827-9325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 5719) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-12-26 |