# ASHLEY HUMLICEK DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Humlicek Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346082500
- **Authorized official:** DR. ASHLEY HUMLICEK DDS (OWNER/ DENTIST)
- **Authorized official phone:** (701) 367-9982

## Contact information

- **Practice address:** 13211 W 21ST CT. N, WICHITA, KS 67235
- **Practice address phone:** (316) 945-8367
- **Mailing address:** 10924 W HAMPTON LAKES CT, MAIZE, KS 67101-3778
- **Mailing address phone:** (701) 367-9982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2024
- **Last updated:** 06/10/2024