| NPI | 1588153472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS SALAVA Owner/Dentist 785-727-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 61307) |
| Enumeration Date | 2018-05-06 |
| Last Update Date | 2018-05-06 |