Organization
WICHITA FAMILY DENTAL PARTNERSHIP
Active
Other names
Wichita Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES H PIERSON D.D.S. (DENTIST)
(316) 630-9339
Entity
Organization
Contact information
Practice address
9339 E 21ST ST N, SUITE 200, WICHITA, KS 67206-2971
(316) 630-9339
(316) 630-9353
Mailing address
9339 E 21ST ST N, SUITE 200, WICHITA, KS 67206-2971
(316) 630-9339
(316) 630-9353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5979
KS
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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