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Organization
KANSAS DENTAL HEALTH PROFESSIONALS, PA
Active
Organization
KANSAS DENTAL HEALTH PROFESSIONALS, PA
Active
Other names
Smiles of Wichita
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA WALKER (ENROLLMENT TEAM LEAD)
(217) 540-8513
Entity
Organization
Contact information
Practice address
387 N WOODLAWN ST, WICHITA, KS 67208-4330
(316) 685-2309
Mailing address
387 N WOODLAWN ST, WICHITA, KS 67208-4330
(316) 685-2309
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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