Organization
FETZIK DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN P FETZIK DMD (OWNER)
(316) 440-4432
Entity
Organization
Contact information
Practice address
2548 N MAIZE CT, SUITE 100, WICHITA, KS 67205-7347
(316) 440-4432
(316) 522-4766
Mailing address
2548 N MAIZE CT, SUITE 100, WICHITA, KS 67205-7347
(316) 440-4432
(316) 522-4766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60099
KS
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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