| NPI | 1598198392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RUSSELL NIVER Owner 785-266-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 4858) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |