Individual
THOMAS KIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HYGIENIST RDH
Contact information
Practice address
841 S HILLSIDE ST, WICHITA, KS 67211-3005
(316) 681-1530
(316) 682-5231
Mailing address
841 S HILLSIDE ST, WICHITA, KS 67211-3005
(316) 681-1530
(316) 682-5231
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10098
KS
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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