| NPI | 1649686932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED STEPHENS FOX Dentist 785-267-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60796) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |