Organization
MIDWEST DENTAL KANSAS WICHITA WOODLAWN PA
Active
Other names
Midwest Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA L QUILLIN DDS (OWNER)
(316) 686-6601
Entity
Organization
Contact information
Practice address
401 N WOODLAWN ST, WICHITA, KS 67208-4335
(316) 686-6601
(316) 686-6602
Mailing address
401 N WOODLAWN ST, WICHITA, KS 67208-4335
(316) 686-6601
(316) 686-6602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7071
KS
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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