# LAKEPOINT DENTAL HEALTH & AESTHETICS, P.A.

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

## Provider details

- **NPI number:** 1700900727
- **Authorized official:** DR. MARY ANN CHANG DMD, MDS (DR.)
- **Authorized official phone:** (316) 686-6565

## Contact information

- **Practice address:** 9314 E CENTRAL AVE, WICHITA, KS 67206-2555
- **Practice address phone:** (316) 686-6565
- **Practice address fax:** (316) 866-2563
- **Mailing address:** 9314 E CENTRAL AVE, WICHITA, KS 67206-2555
- **Mailing address phone:** (316) 686-6565
- **Mailing address fax:** (316) 866-2563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 01/29/2009