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Organization

TWIETMEYER FAMILY DENTISTRY LLC

Active
Other names
Twietmeyer Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES D TWIETMEYER DMD (GENERAL DENTIST)
(316) 942-3113
Entity
Organization

Contact information

Practice address
3920 W 31ST ST S, WICHITA, KS 67217-1112
(316) 942-3113
Mailing address
3920 W 31ST ST S, WICHITA, KS 67217-1112
(316) 942-3113

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/24/2020
Last updated
11/24/2020
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