| NPI | 1750101705 |
|---|---|
| Doing Business As | OTTAWA KANSAS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RUFUS PAUL RIDDLE Owner 479-651-8298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2025-02-20 |