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Individual

DR. DONALD IRVIN MARLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2563 N HOOD AVE, WICHITA, KS 67204-5736
(316) 832-0141
(316) 832-0142
Mailing address
PO BOX 4071, WICHITA, KS 67204-0071
(316) 832-0141
(316) 832-0142

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4481
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4481
STATE LICENSE
KS
01
7846
BLUE CROSS BLUE SHIELD #
KS
Enumeration date
12/31/2005
Last updated
07/08/2007
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