| NPI | 1679668628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MARIE HENRY Dentist 785-226-6149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60333) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |