Individual
DR. JARED MARK REICHENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10243 W 21ST ST N STE 101, WICHITA, KS 67205-1891
(316) 295-2858
(316) 440-7716
Mailing address
10243 W 21ST ST N STE 101, WICHITA, KS 67205-1891
(316) 295-2858
(316) 440-7716
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2009013396
MO
Other
Enumeration date
06/08/2009
Last updated
07/14/2021
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