| NPI | 1821204280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON C GORDY Orthodontist 785-267-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KS 5265) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-08-13 |