Organization
PRAIRIE ROCK DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GUEST (COO)
(913) 645-0079
Entity
Organization
Contact information
Practice address
8123 E HARRY ST, WICHITA, KS 67207-4603
(316) 686-3397
Mailing address
1915 S OHIO CT STE 259, SALINA, KS 67401-6602
(785) 404-2070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
02/01/2023
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