# FETZIK DENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497002133
- **Authorized official:** DR. STEPHEN P FETZIK DMD (OWNER)
- **Authorized official phone:** (316) 440-4432

## Contact information

- **Practice address:** 2548 N MAIZE CT, SUITE 100, WICHITA, KS 67205-7347
- **Practice address phone:** (316) 440-4432
- **Practice address fax:** (316) 522-4766
- **Mailing address:** 2548 N MAIZE CT, SUITE 100, WICHITA, KS 67205-7347
- **Mailing address phone:** (316) 440-4432
- **Mailing address fax:** (316) 522-4766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60099 | KS | Yes |

## Other

- **Enumeration date:** 08/13/2012
- **Last updated:** 08/13/2012