Individual
DR. THOMAS KIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5315 E 21ST ST N, WICHITA, KS 67208-1600
(316) 768-6408
Mailing address
4102 E CENTRAL AVE, WICHITA, KS 67208-3820
(316) 200-5706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61941
KS
Other
Enumeration date
07/02/2022
Last updated
07/02/2022
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