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Organization

316 FAMILY DENTAL LLC

Active
Other names
Andrew J. Mettman DDS LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW J. METTMAN DDS (OWNER/DENTIST)
(316) 650-1774
Entity
Organization

Contact information

Practice address
606 N MAIN ST STE 102, NEWTON, KS 67114-2219
(316) 283-0110
(316) 283-0736
Mailing address
1046 S BEDFORD TER, WICHITA, KS 67207-4304
(316) 650-1774

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/08/2020
Last updated
01/01/2022
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