| NPI | 1538220215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNA JEAN YOUNG Office Manager 785-539-7429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-09-14 |