Organization
TWIETMEYER DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN F TWIETMEYER (OWNER)
(316) 540-3171
Entity
Organization
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
5739
KS
Other
Enumeration date
04/07/2006
Last updated
08/22/2020
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