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Organization

DERBY WFD GPS LLC

Active
Other names
Wichita Family Dental Derby
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM LITTLE (CEO)
(870) 293-6264
Entity
Organization

Contact information

Practice address
1120 N ROCK RD STE 100, DERBY, KS 67037-3587
(316) 333-6446
Mailing address
PO BOX 17151, JONESBORO, AR 72403-6720

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/18/2023
Last updated
07/18/2023
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