Organization
PRECISION DENTAL WEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIELA DEGROOT (OFFICE MANAGER)
(316) 558-3993
Entity
Organization
Contact information
Practice address
3900 W CENTRAL AVE STE 100, WICHITA, KS 67203-4928
(316) 558-3993
(316) 558-3995
Mailing address
3900 W CENTRAL AVE STE 100, WICHITA, KS 67203-4928
(316) 558-3993
(316) 558-3995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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