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Individual

DR. ANITRA MICHELLE CRAIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
980 S OLIVER AVE, WICHITA, KS 67218-3216
(312) 226-7616
Mailing address
980 S OLIVER AVE, WICHITA, KS 67218-3216
(312) 226-7616

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
8327
TN
1223G0001X
General Practice Dentistry
Primary
6241
LA
1223G0001X
General Practice Dentistry
6900
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1862410
LA
Enumeration date
02/01/2007
Last updated
02/12/2026
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