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Organization
SMILE CRAFT DENTAL, LLC
Active
Organization
SMILE CRAFT DENTAL, LLC
Active
Other names
Smile Craft Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY LE (OFFICE MANAGER)
(408) 209-2855
Entity
Organization
Contact information
Practice address
5315 E 21ST ST N STE 104, WICHITA, KS 67208-1600
(408) 209-2855
Mailing address
5315 E 21ST ST N STE 104, WICHITA, KS 67208-1600
(408) 209-2855
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200877840C
—
KS
Enumeration date
05/07/2020
Last updated
05/07/2020
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