| NPI | 1871948497 |
|---|---|
| Doing Business As | CHAUTAUQUA HILLS DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | COLIN MICHAEL SHAWHAN Dentist 620-725-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 305S00000X Point of Service (Licence: KS 61288) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2019-11-07 |