| NPI | 1710410543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX R ROBERTS Owner Dentist 785-766-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 10300) |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2017-04-08 |