Individual
DR. ANTOINE E WAKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
710 N WOODCHUCK, WICHITA, KS 67212
(316) 721-4477
(310) 721-4099
Mailing address
710 N WOODCHUCK, WICHITA, KS 67212
(316) 721-4477
(310) 721-4099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6078
KS
1223G0001X
General Practice Dentistry
6078
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100223080A
—
KS
Enumeration date
09/28/2006
Last updated
04/04/2024
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