| NPI | 1811177645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M SCHAULIS Bookkeeper 785-825-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 6204) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-07-30 |