# DENTAL CORNER PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134119779
- **Authorized official:** J WARREN HILDRETH DDS (PRESIDENT)
- **Authorized official phone:** (785) 456-7083

## Contact information

- **Practice address:** 2046 N OLIVER ST, WICHITA, KS 67208-2503
- **Practice address phone:** (316) 681-2425
- **Practice address fax:** (316) 681-0947
- **Mailing address:** 2046 N OLIVER ST, WICHITA, KS 67208-2503
- **Mailing address phone:** (316) 681-2425
- **Mailing address fax:** (316) 681-0947

## Taxonomy

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

## Other

- **Enumeration date:** 10/25/2005
- **Last updated:** 07/21/2022