Organization
PAULY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRA PAULY DDS (MEMBER)
(316) 285-8755
Entity
Organization
Contact information
Practice address
1035 N EMPORIA ST, SUITE 102, WICHITA, KS 67214-2944
(316) 263-0889
(316) 263-1770
Mailing address
1035 N EMPORIA ST, SUITE 102, WICHITA, KS 67214-2944
(316) 263-0889
(316) 263-1770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60618
KS
Other
Enumeration date
04/05/2015
Last updated
04/05/2015
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