Organization
RIO DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE YATES (CFO)
(918) 998-0996
Entity
Organization
Contact information
Practice address
7207 E 21ST ST N, WICHITA, KS 67206-3916
(316) 683-0677
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 310-1056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
10/18/2023
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