Individual
DR. MARK ALAN HUENERGARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1301 N WEST ST, WICHITA, KS 67203-1347
(316) 942-2468
(316) 942-8387
Mailing address
1301 N WEST ST, WICHITA, KS 67203-1347
(316) 942-2468
(316) 942-8387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5848
KS
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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