| NPI | 1609841493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D EVANS President 913-772-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: KS 4672) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |