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Organization
HEARTLAND DENTISTRY
Active
Organization
HEARTLAND DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDI IRVING (OFFICE MANAGER)
(316) 832-0186
Entity
Organization
Contact information
Practice address
3722 N ARKANSAS AVE, WICHITA, KS 67204-4053
(316) 832-0186
Mailing address
3722 N ARKANSAS AVE, WICHITA, KS 67204-4053
(316) 832-0186
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60555
KS
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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