Individual
DR. MARK WAYNE HEIDEBRECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7730 E 37TH ST N, SUITE 300, WICHITA, KS 67226-2822
(316) 491-8200
(316) 491-8888
Mailing address
7730 E 37TH ST N, SUITE 300, WICHITA, KS 67226-2822
(316) 491-8200
(316) 491-8888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6437
KS
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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