Individual
EMILY M CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3213 N. RIDGE RD, WICHITA, KS 67205
(316) 773-3311
(316) 773-2139
Mailing address
3213 N RIDGE RD, WICHITA, KS 67205
(316) 773-3311
(316) 773-2139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61411
KS
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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