| NPI | 1679894356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY E COLE Owner 316-634-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 60187) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |