| NPI | 1730277609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN WILLIAM BAESEL President 316-722-6717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 5315) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-05-19 |