| NPI | 1699884965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLI E GILL Billing Manager 785-843-4076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: KS 6357) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-01-27 |