Individual
BROOKE ALEXANDRA COLTRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13121 E 21ST ST N STE 107, WICHITA, KS 67230-7403
(316) 630-9500
Mailing address
14716 E 9TH ST N, WICHITA, KS 67230-7005
(316) 734-2456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62326
KS
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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