| NPI | 1699727388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM A WEHMEYER Office Manager 316-722-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 6378) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-03-07 |