Organization
WICHITA DENTAL GROUP AT FOUNDERS CIRCLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MACY LEWIS DDS (PRESIDENT)
(316) 250-6426
Entity
Organization
Contact information
Practice address
2043 N FOUNDERS CIR STE 101, WICHITA, KS 67206-3564
(316) 250-6426
Mailing address
2043 N FOUNDERS CIR STE 101, WICHITA, KS 67206-3564
(316) 250-6426
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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