Individual
DEDE HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 866-2000
Mailing address
14107 E WATSON ST, WICHITA, KS 67230-9622
(703) 342-7262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61916
KS
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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