| NPI | 1558526616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GENE BUDIG Owner 913-851-2739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 60134) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |