Organization
GREGORY J PARTRIDGE DDS, ESTATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA L ROSE (OWNER)
(425) 238-7426
Entity
Organization
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
122300000X
Dentist
Primary
6123
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10222990A
—
KS
Enumeration date
10/08/2013
Last updated
10/08/2013
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