| NPI | 1700116340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GENE GEISENDORF Owner/Doctor 785-740-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 60473) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |