# DANIEL D KIEU DDS PA

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

## Provider details

- **NPI number:** 1194070326
- **Authorized official:** DANIEL D KIEU DDS (PRESIDENT)
- **Authorized official phone:** (316) 612-0270

## Contact information

- **Practice address:** 4100 E CENTRAL AVE, WICHITA, KS 67208-3820
- **Practice address phone:** (316) 612-0270
- **Practice address fax:** (316) 612-0353
- **Mailing address:** 4100 E CENTRAL AVE, WICHITA, KS 67208-3820
- **Mailing address phone:** (316) 612-0270
- **Mailing address fax:** (316) 612-0353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7199 | KS | Yes |

## Other

- **Enumeration date:** 07/13/2012
- **Last updated:** 07/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100359900A | — | KS |