| NPI | 1669832044 |
|---|---|
| Other Name | EAST WICHITA DENTIST |
| Entity Type | Organization |
| Authorized Contact | DAVID R. KOEPSEL Owner/Dentist 316-686-7395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |