| NPI | 1831305580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRA L. REUSSER Dentist/Owner 316-249-3929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OK 3804) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-12-07 |