Organization
KANSAS FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT LAHAM DMD (OWNER)
(316) 209-0474
Entity
Organization
Contact information
Practice address
1223 N ROCK RD STE F100, WICHITA, KS 67206-1271
(316) 687-0100
Mailing address
1223 N ROCK RD STE F100, WICHITA, KS 67206-1271
(316) 687-0100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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