Organization
SMILE CRAFT DENTAL, LLC
Active
Other names
Smile Craft Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY LE (OFFICE MANAGER)
(408) 209-2855
Entity
Organization
Contact information
Practice address
5315 E 21ST ST N STE 104, WICHITA, KS 67208-1600
(408) 209-2855
Mailing address
5315 E 21ST ST N STE 104, WICHITA, KS 67208-1600
(408) 209-2855
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200877840C
—
KS
Enumeration date
05/07/2020
Last updated
05/07/2020
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