Individual
DR. TRENTON LAYNE EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3151 N ROCK RD, WICHITA, KS 67226-1312
(316) 272-7876
Mailing address
2404 E QUIVIRA CT, KECHI, KS 67067-8909
(620) 440-2948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61814
KS
Other
Enumeration date
07/19/2021
Last updated
08/06/2021
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