| NPI | 1952396756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W. JACOBS President 785-842-9223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KS 4845) |
| Enumeration Date | 2005-09-18 |
| Last Update Date | 2020-08-22 |