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Organization
YR FAMILY DENTISTRY
Active
Organization
YR FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONA RASYNOUVONG DDS (DENTIST/OWNER)
(316) 993-1579
Entity
Organization
Contact information
Practice address
3801 N RIDGE RD, STE 150/160, WICHITA, KS 67205
(316) 993-1579
Mailing address
2855 N ANNA CT, WICHITA, KS 67205-1159
(316) 993-1579
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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