| NPI | 1780290205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M MCKINLEY Dentist 785-877-6714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |