Organization
RUMORDENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREANNA WILES (OWNER)
(785) 560-6078
Entity
Organization
Contact information
Practice address
1519 E 17TH AVE, HUTCHINSON, KS 67501
(844) 651-0572
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
06/20/2023
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