| NPI | 1639218902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE REILENDER Office Manager 316-788-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 7203) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2010-10-18 |