Organization
DENTAL ASSOCIATES OF WEST WICHITA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE JONES (BUSINESS MANAGER)
(316) 972-5358
Entity
Organization
Contact information
Practice address
444 N RIDGE RD, WICHITA, KS 67212-6574
(316) 942-5358
(316) 942-7277
Mailing address
444 N RIDGE RD, WICHITA, KS 67212-6574
(316) 942-5358
(316) 942-7277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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