Individual
MELISSA MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2860 S SENECA ST, WICHITA, KS 67217-2865
(316) 522-4719
(316) 522-3398
Mailing address
2860 S SENECA ST, WICHITA, KS 67217-2865
(316) 522-4719
(316) 522-3398
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61395
KS
Other
Enumeration date
06/14/2018
Last updated
04/08/2019
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