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Organization
GHANTA DENTISTRY PA
Active
Organization
GHANTA DENTISTRY PA
Active
Other names
Maple Park Dental Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANJIT GHANTA DMD (OWNER DENTIST)
(432) 934-1548
Entity
Organization
Contact information
Practice address
415 S 119TH ST W, WICHITA, KS 67235-1816
(316) 941-5997
Mailing address
415 S 119TH ST W, WICHITA, KS 67235-1816
(316) 941-5997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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