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Organization
WINTER PARK DENTISTRY, P.A.
Active
Organization
WINTER PARK DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA L WINTER D.M.D. (DOCTOR)
(316) 722-2166
Entity
Organization
Contact information
Practice address
1445 N RIDGE RD, WICHITA, KS 67212-2985
(316) 722-2166
(316) 722-0949
Mailing address
1445 N RIDGE RD, WICHITA, KS 67212-2985
(316) 722-2166
(316) 722-0949
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
KS 5342
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-328
BLUE CROSS BLUE SHIELD
KS
01
—
97-4395
UNITED CONCORDIA
KS
Enumeration date
07/06/2007
Last updated
12/05/2007
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