| NPI | 1700290491 |
|---|---|
| Doing Business As | FORT SCOTT FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P. CRAWFORD Dentist/Owner 620-223-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: KS 60757) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |