Organization
EAST WFD GPS LLC
Active
Other names
Wichita Family Dental East
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LITTLE (CEO)
(870) 293-6264
Entity
Organization
Contact information
Practice address
9339 E 21ST ST N, WICHITA, KS 67206-2971
(316) 333-6446
Mailing address
PO BOX 17151, JONESBORO, AR 72403-6720
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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