Individual
DR. BRENT CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7570 W 21ST ST N, BUILDING 1010, WICHITA, KS 67205-1734
(316) 722-0444
(316) 722-4481
Mailing address
7570 W 21ST ST N, BUILDING 1010, WICHITA, KS 67205-1734
(316) 722-0444
(316) 722-4481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60809
KS
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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