Organization
DAVID F MENDOZA DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID F MENDOZA DMD (PRESIDENT)
(316) 522-6791
Entity
Organization
Contact information
Practice address
910 S HILLSIDE ST, WICHITA, KS 67211-4001
(316) 522-6791
Mailing address
910 S HILLSIDE ST, WICHITA, KS 67211-4001
(316) 522-6791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6448
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100225720B
—
KS
Enumeration date
03/12/2013
Last updated
03/13/2013
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