Individual
DR. CHARLES TWIETMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3920 W 31ST ST S, WICHITA, KS 67217-1112
(316) 942-3113
Mailing address
3920 W 31ST ST S, WICHITA, KS 67217-1112
(316) 942-3113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61241
KS
Other
Enumeration date
07/06/2016
Last updated
11/24/2020
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