| NPI | 1669712386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN KINDERKNECHT Group Head 785-623-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 6286) |
| Additional Taxonomies | 122300000X Dentist (Licence: KS 60813) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |