# GILBERT OMIDO DDS, PA

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

## Provider details

- **NPI number:** 1720159601
- **Authorized official:** DR. GILBERT R OMIDO DDS (PRESIDENT)
- **Authorized official phone:** (316) 683-0440

## Contact information

- **Practice address:** 7207 E. 21ST ST N, WICHITA, KS 67206
- **Practice address phone:** (316) 683-0440
- **Practice address fax:** (316) 689-0300
- **Mailing address:** 7207 E. 21ST ST N, WICHITA, KS 67206
- **Mailing address phone:** (316) 683-0440
- **Mailing address fax:** (316) 689-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7035 | KS | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 12/19/2016