Organization
CRAIG B LASHLEY DDS PA
Active
Parent organization
CRAIG B LASHLEY DDS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRAIG B LASHLEY DDS PA
Authorized official
CRAIG B LASHLEY DDS, PA (OWNER/DENTIST)
(316) 773-1177
Entity
Organization
Contact information
Practice address
2105 N. RIDGE RD, WICHITA, KS 67212-1417
(316) 773-1177
(316) 773-2693
Mailing address
2105 N. RIDGE RD., WICHITA, KS 67212-1417
(316) 773-1177
(316) 773-2693
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7127
KS
305R00000X
Preferred Provider Organization
7127
KS
Other
Enumeration date
06/22/2007
Last updated
07/15/2008
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