Individual
TREY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 N PRESTON TRL, WICHITA, KS 67230-1505
(316) 655-9408
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 559-6100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61182
KS
Other
Enumeration date
06/09/2015
Last updated
07/15/2016
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