Organization
DENTAL CARE OF WICHITA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON DDS (OWNER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
5805 E CENTRAL AVE, WICHITA, KS 67208-4204
(316) 684-8261
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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