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Organization
WICHITA DENTAL GROUP AT FOUNDERS CIRCLE LLC
Active
Organization
WICHITA DENTAL GROUP AT FOUNDERS CIRCLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MACY LEWIS DDS (PRESIDENT)
(316) 250-6426
Entity
Organization
Contact information
Practice address
2043 N FOUNDERS CIR STE 101, WICHITA, KS 67206-3564
(316) 250-6426
Mailing address
2043 N FOUNDERS CIR STE 101, WICHITA, KS 67206-3564
(316) 250-6426
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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