Individual
DR. TERRA SHIVON PAULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4620 E DOUGLAS AVE STE 100, WICHITA, KS 67208-3955
(316) 263-0889
Mailing address
4620 E DOUGLAS AVE STE 100, WICHITA, KS 67208-3955
(316) 263-0889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60618
KS
Other
Enumeration date
08/03/2009
Last updated
07/27/2020
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