| NPI | 1497970685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL FRANCIS MITSCH Dentist 316-775-2482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 5412) |
| Enumeration Date | 2007-04-15 |
| Last Update Date | 2020-08-22 |