Organization
GHANTA DENTISTRY PA
Active
Other names
Maple Park Dental Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANJIT GHANTA DMD (OWNER DENTIST)
(432) 934-1548
Entity
Organization
Contact information
Practice address
415 S 119TH ST W, WICHITA, KS 67235-1816
(316) 941-5997
Mailing address
415 S 119TH ST W, WICHITA, KS 67235-1816
(316) 941-5997
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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