| NPI | 1497912356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMY H BLANCHAERT Owner 316-634-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 04-31176) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |