NPI | 1629217336 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY R ROBBINS Owner 785-841-8210 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60488) |
Enumeration Date | 2009-02-19 |
Last Update Date | 2009-02-19 |