NPI | 1972095867 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ROBERT JONES President 785-483-2411 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KS 6283) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2018-06-05 |