Organization
WICHITA ENDODONTICS LLC
Active
Parent organization
WICHITA ENDODONTICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WICHITA ENDODONTICS LLC
Authorized official
DR. CRAIG FRANK HOFFMANN DDS (OWNER/PROVIDER)
(316) 681-1099
Entity
Organization
Contact information
Practice address
12219 E CENTRAL AVE, WICHITA, KS 67206-2808
(316) 681-1099
(316) 613-2417
Mailing address
12219 E CENTRAL AVE, WICHITA, KS 67206-2808
(316) 681-1099
(316) 613-2417
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
60398
KS
1223E0200X
Endodontics
6545
KS
Other
Enumeration date
08/14/2017
Last updated
08/04/2021
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