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 |