Individual
DR. MARIAH MOXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
900 N TYLER RD STE 2, WICHITA, KS 67212-3249
(316) 722-2596
Mailing address
15455 E 13TH ST N, WICHITA, KS 67230-7572
(316) 304-8884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61626
KS
Other
Enumeration date
06/20/2019
Last updated
06/09/2020
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