| NPI | 1831219476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SCHUBERT Office Mgr 620-227-7521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 60662) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-01-10 |