Individual
BLOSSOM AMECHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10333 E 21ST ST N STE 101, WICHITA, KS 67206-3544
(316) 684-1470
Mailing address
10333 E 21ST ST N STE 101, WICHITA, KS 67206-3544
(316) 684-1470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62240
KS
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
04/24/2024
Last updated
02/25/2025
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