| NPI | 1558649582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MICHELE BEURSKENS Owner 620-331-4859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60685) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2013-08-01 |