Organization
DEAN W. BAESEL, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN WILLIAM BAESEL D.D.S (PRESIDENT)
(316) 722-6717
Entity
Organization
Contact information
Practice address
881 N TYLER RD, WICHITA, KS 67212-3200
(316) 722-6717
Mailing address
881 N TYLER RD, WICHITA, KS 67212-3200
(316) 722-6717
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5315
KS
Other
Enumeration date
10/10/2006
Last updated
05/19/2022
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