| NPI | 1770967283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM BOWEN Dentist/Manager 785-466-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60657) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |