Individual
NATHANIEL C SIPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1831 N ROCK ROAD CT STE 101, WICHITA, KS 67206-1374
(316) 652-0000
(316) 652-0278
Mailing address
1831 N ROCK ROAD CT, WICHITA, KS 67206-1373
(316) 652-0000
(316) 652-0278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61862
KS
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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