| NPI | 1548682933 |
|---|---|
| Doing Business As | FORT SCOTT FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRAD JENKINS Owner 620-223-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 7195) |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2014-01-29 |