| NPI | 1609030006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ALLAN OHNMACHT Manager 620-792-1941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60558) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |