Individual
KRISTINA T. NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13705 W MAPLE ST, WICHITA, KS 67235-8701
(316) 201-6323
Mailing address
10302 E 19TH ST N, WICHITA, KS 67206-1095
(316) 655-5864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
62159
KS
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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