Organization
THOMAS D FANKHAUSER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D FANKHAUSER DDS (PRESIDENT/DENTIST)
(316) 686-7395
Entity
Organization
Contact information
Practice address
8150 E DOUGLAS AVE, SUITE 10, WICHITA, KS 67206-2376
(316) 686-7395
(316) 613-2506
Mailing address
8150 E DOUGLAS AVE, SUITE 10, WICHITA, KS 67206-2362
(316) 686-7395
(316) 613-2506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5161
KS
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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