| NPI | 1619981453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PATRICK CHANG President 316-267-3924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KS 6217) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |