| NPI | 1912077116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP C GAUS Partner 620-342-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KS 6706) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |