| NPI | 1558576934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD D BARDEN President 620-343-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 4991) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 60357) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |