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Organization
DERBY WFD GPS LLC
Active
Organization
DERBY WFD GPS LLC
Active
Other names
Wichita Family Dental Derby
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LITTLE (CEO)
(870) 293-6264
Entity
Organization
Contact information
Practice address
1120 N ROCK RD STE 100, DERBY, KS 67037-3587
(316) 333-6446
Mailing address
PO BOX 17151, JONESBORO, AR 72403-6720
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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