| NPI | 1699228379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXWELL EUGENE WHITE Dentist 316-522-4759 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60967) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |