Organization
CHILDREN'S DENTAL PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAH L FRAZIER DDS (PEDIATRIC DENTIST)
(316) 613-2077
Entity
Organization
Contact information
Practice address
6943 W 37TH ST N, WICHITA, KS 67205-9302
(316) 613-2077
(316) 613-2969
Mailing address
6943 W. 37TH STREET N., WICHITA, KS 67205-9365
(316) 613-2077
(316) 613-2969
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/16/2011
Last updated
10/21/2016
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