| NPI | 1518208776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID F MENDOZA President 316-522-6791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 6448) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-13 |