# PAULY DENTAL LLC

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

## Provider details

- **NPI number:** 1164817243
- **Authorized official:** DR. TERRA PAULY DDS (MEMBER)
- **Authorized official phone:** (316) 285-8755

## Contact information

- **Practice address:** 1035 N EMPORIA ST, SUITE 102, WICHITA, KS 67214-2944
- **Practice address phone:** (316) 263-0889
- **Practice address fax:** (316) 263-1770
- **Mailing address:** 1035 N EMPORIA ST, SUITE 102, WICHITA, KS 67214-2944
- **Mailing address phone:** (316) 263-0889
- **Mailing address fax:** (316) 263-1770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60618 | KS | Yes |

## Other

- **Enumeration date:** 04/05/2015
- **Last updated:** 04/05/2015