Organization
ENVY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEDA VESSALI DDS (DENTIST)
(316) 214-5730
Entity
Organization
Contact information
Practice address
132 N WEST ST, WICHITA, KS 67203-1246
(316) 943-3273
(316) 943-8491
Mailing address
132 N WEST ST, WICHITA, KS 67203-1246
(316) 943-3273
(316) 943-8491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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