| NPI | 1780940213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY MICHAEL OLTJEN Dr & Owener 913-764-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KS 6865) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2016-11-30 |