| NPI | 1700847043 |
|---|---|
| Doing Business As | OTTAWA KANSAS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | THOMAS A. RAINBOLT President 785-841-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2014-12-10 |