| NPI | 1962407114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD MICHAEL WAMSLEY Sercetary, Dental Center, P.A. 620-663-9133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 6470) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: KS 4497) |
| 1223G0001X Dentist, General Practice (Licence: KS 3863) | |
| 1223G0001X Dentist, General Practice (Licence: KS 6356) | |
| 1223G0001X Dentist, General Practice (Licence: KS 4370) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-08-22 |