| NPI | 1538664297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLI GILL Contracting And Credentialing Agen 785-766-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 60819) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |