Individual
MR. JOSEPH G BABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4620 E DOUGLAS AVE STE 102, WICHITA, KS 67208-3900
(316) 263-2444
(316) 260-2401
Mailing address
4620 E DOUGLAS AVE STE 102, WICHITA, KS 67208-3900
(316) 263-2444
(316) 260-2401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5883
KS
1223G0001X
General Practice Dentistry
5883
KS
Other
Enumeration date
10/12/2006
Last updated
03/16/2016
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