| NPI | 1861788960 |
|---|---|
| Doing Business As | FIRST DENTAL |
| Entity Type | Organization |
| Authorized Contact | JESICKA J WILKINSON Administration 620-225-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2021-08-19 |