Organization
HILLSIDE ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG F HOFFMAN DDS (OWNER)
(316) 681-1099
Entity
Organization
Contact information
Practice address
215 S. HILLSIDE, WICHITA, KS 67211-2128
(316) 681-3479
(316) 681-0346
Mailing address
215 S. HILLSIDE, WICHITA, KS 67211-2128
(316) 681-3479
(316) 681-0346
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
60398
KS
1223E0200X
Endodontics
Primary
6545
KS
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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