Individual
DR. PHILIP S ZIVNUSKA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2424 N WOODLAWN ST, SUITE 119, WICHITA, KS 67220-3957
(316) 683-0411
(316) 683-0204
Mailing address
2424 N WOODLAWN ST, SUITE 119, WICHITA, KS 67220-3957
(316) 683-0411
(316) 683-0204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5677
KS
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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