Organization
E C TYREE HEALTH & DENTAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCHAUNTA L JAMES BOYD (EXECUTIVE DIRECTOR)
(316) 681-2545
Entity
Organization
Contact information
Practice address
1525 N LORRAINE ST, WICHITA, KS 67214-2444
(316) 681-2545
(316) 681-2549
Mailing address
1525 N LORRAINE ST, WICHITA, KS 67214-2444
(316) 681-2545
(316) 681-2549
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
11/12/2007
Last updated
04/22/2008
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