Individual
DR. MARVIN BLAINE EDGINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
231 N WEST ST, WICHITA, KS 67203-1204
(316) 945-8367
Mailing address
231 N WEST ST, WICHITA, KS 67203-1204
(316) 945-8367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5259
KS
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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