Organization
WICHITA PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ISEMAN (DOCTOR)
(316) 630-0090
Entity
Organization
Contact information
Practice address
1230 N BROADMOOR AVE, #400, WICHITA, KS 67206-3891
(361) 630-0090
(316) 630-0099
Mailing address
1230 N BROADMOOR AVE, #400, WICHITA, KS 67206-3891
(361) 630-0090
(316) 630-0099
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1223PO221X
KS
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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