| NPI | 1770187452 |
|---|---|
| Other Name | TWIETMEYER FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHARLES D TWIETMEYER General Dentist 316-942-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |