| NPI | 1700224235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN M DOSCH Partner Dentist 620-669-1032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60812) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 5452) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |