# ESTEL L. LANDRETH, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Landreth Team Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083753917
- **Authorized official:** ESTEL LEE LANDRETH DDS (DENTIST)
- **Authorized official phone:** (316) 685-9276

## Contact information

- **Practice address:** 4620 E DOUGLAS AVE, WICHITA, KS 67208-3930
- **Practice address phone:** (316) 685-9276
- **Practice address fax:** (316) 685-2973
- **Mailing address:** 4620 E DOUGLAS AVE, WICHITA, KS 67208-3930
- **Mailing address phone:** (316) 685-9276
- **Mailing address fax:** (316) 685-2973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 06/23/2008
