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Organization
W.R. WHITLOW, D.D.S., PA
Active
Organization
W.R. WHITLOW, D.D.S., PA
Active
Parent organization
W.R. WHITLOW, D.D.S., PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
W.R. WHITLOW, D.D.S., PA
Authorized official
DR. WILLIAM R WHITLOW D.D.S. (PRESIDENT)
(620) 663-1141
Entity
Organization
Contact information
Practice address
1919 N MAIZE RD STE 200, WICHITA, KS 67212-5203
(316) 721-4890
(316) 721-1529
Mailing address
2301 N WALDRON ST, HUTCHINSON, KS 67502-1133
(620) 663-1141
(620) 663-1373
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6423
KS
Other
Enumeration date
09/20/2006
Last updated
08/13/2007
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