Organization
MOXLEY FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAH MOXLEY DDS (DENTIST/OWNER)
(316) 304-8884
Entity
Organization
Contact information
Practice address
15455 E 13TH ST N, WICHITA, KS 67230-7572
(316) 304-8884
Mailing address
15455 E 13TH ST N, WICHITA, KS 67230-7572
(316) 304-8884
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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