Individual
ALEC PAUL MALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
900 N TYLER RD STE 2, WICHITA, KS 67212-3249
(316) 722-2596
Mailing address
10119 W WESTPORT ST, WICHITA, KS 67212-6714
(316) 303-2629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61897
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61897
STATE LICENSE
KS
Enumeration date
06/20/2022
Last updated
06/20/2022
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