NPI | 1861936056 |
---|---|
Other Name | POLISHED GENERAL DENTISTRY |
Entity Type | Organization |
Authorized Contact | MEGAN SHELTON Owner / President 316-393-9162 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 63304) |
Enumeration Date | 2016-12-07 |
Last Update Date | 2016-12-07 |