| NPI | 1689089310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY JENNIFER YOUNG Manager/Owner 785-452-8949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 60947) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |