Kidspace Pediatric Dentistry,p.a

NPI 1245370345 - Dentist - 1223P0221X

NPI Details
NPI 1245370345
Enumeration Date 02/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JULIE S. JULIE
Position OFFICE MANAGER
Phone (316) 684-2100
Fax (316) 684-2101
Practice Location
430 N WOODLAWN ST STE 1
WICHITA KS, 67208-4334, US
Phone (316) 684-2100
Fax (316) 684-2101
Business Location
430 N WOODLAWN ST STE 1
WICHITA KS, 67208-4334, US
Phone (316) 684-2100
Fax (316) 684-2101
Toxanomy
Taxonomy Code 1223P0221X
License State Kansas
License Number 6522
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According to our database, Kidspace Pediatric Dentistry,p.a NPI is 1245370345, taxonomy code is 1223P0221X and license number is 6522, license state is located at Kansas. Kidspace Pediatric Dentistry,p.a physically located at 430 N Woodlawn St Ste 1, Wichita KS, 67208-4334. NPI Number 1033115704 has the healthcare provider type.

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1245370345 NPI number is provided on an as is basis without warranty of any kind. 1245370345 is maintained by the National Plan & Provider Enumeration System. The contents of Kidspace Pediatric Dentistry,p.a are for informational purposes only.