| NPI | 1780983817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT B EDMONDS Doctor 785-272-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: KS 5538) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |