Organization
CAMBRIDGE FAMILY DENTISTY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN DEAN WRIGHT DDS (PRESIDENT)
(316) 687-2110
Entity
Organization
Contact information
Practice address
2020 N WEBB RD, BLDG 301, WICHITA, KS 67206
(316) 687-2110
(316) 636-9539
Mailing address
2020 N WEBB RD, BLDG 301, WICHITA, KS 67206
(316) 687-2110
(316) 636-9539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
420722
BLUE CROSS BLUE SHIELD
KS
Enumeration date
01/08/2007
Last updated
08/22/2020
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