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Organization

WAVING WHEAT DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIANNE KOESTER DDS (PRACTICE OWNER)
(785) 542-9105
Entity
Organization

Contact information

Practice address
104 W 20TH ST STE 3, EUDORA, KS 66025-8112
(785) 542-9105
Mailing address
104 W 20TH ST STE 3, EUDORA, KS 66025-8112

Taxonomy

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

Other

Enumeration date
07/23/2025
Last updated
07/23/2025
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