NPI | 1659066991 |
---|---|
Doing Business As | WEST PLAINS FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | GALEN KELLENBERGER President 913-754-6026 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-04-11 |
Last Update Date | 2023-04-11 |