Wichita Dental Group Pa

NPI 1528310331 - Dentist - 122300000X

NPI Details
NPI 1528310331
Enumeration Date 10/04/2012
Last Updated 10/04/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JOHN M JOHN
Position PRESIDENT
Phone (316) 265-0849
Fax (316) 265-6307
Practice Location
301 N MAIN ST
SUITE 1420
WICHITA KS, 67202-4800, US
Phone (316) 265-0849
Fax (316) 265-6307
Business Location
301 N MAIN ST
SUITE 1420
WICHITA KS, 67202-4800, US
Phone (316) 265-0849
Fax (316) 265-6307
Toxanomy
Taxonomy Code 122300000X
License State Kansas
License Number 6445
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According to our database, Wichita Dental Group Pa NPI is 1528310331, taxonomy code is 122300000X and license number is 6445, license state is located at Kansas. Wichita Dental Group Pa physically located at 301 N Main St, Wichita KS, 67202-4800. NPI Number 1033115704 has the healthcare provider type.

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1528310331 NPI number is provided on an as is basis without warranty of any kind. 1528310331 is maintained by the National Plan & Provider Enumeration System. The contents of Wichita Dental Group Pa are for informational purposes only.