Individual
DR. MAYA R NUNLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
GRACE MED CLINIC 1122 N. TOPEKA, WICHITA, KS 67214
(316) 866-2000
(316) 866-2082
Mailing address
WSU AEGD PROGRAM, 1845 FAIRMOUNT, WICHITA, KS 67260-0001
(319) 978-3456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60743
KS
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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