| NPI | 1518299080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS W POLK Owner/President 620-342-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS KS60593) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |