NPI | 1699868372 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE W ALBRIGHT President 620-669-9911 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 4651) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2008-02-04 |