Individual
DR. TAYLOR PHILLIP JEROMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2838 N OLIVER ST, WICHITA, KS 67220-2983
(316) 978-8350
Mailing address
2838 N OLIVER ST, WICHITA, KS 67220-2983
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61415
KS
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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