Organization
DENTAL WELLNESS OF KANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KREG WILLIAM BOYNTON DDS (DENTIST/OWNER)
(316) 685-8881
Entity
Organization
Contact information
Practice address
1901 N WEBB RD, SUITE A, WICHITA, KS 67206-3415
(316) 685-8881
Mailing address
1901 N WEBB RD, SUITE A, WICHITA, KS 67206-3415
(316) 685-8881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7208
KS
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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