Organization
MAIZE DENTAL STUDIO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON DDS (PRESIDENT)
(918) 998-0996
Entity
Organization
Contact information
Practice address
10240 W 29TH ST N STE 102, WICHITA, KS 67205-7913
(918) 998-0996
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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