Organization
NORDHUS FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON J NORDHUS (OWNER)
(316) 721-6730
Entity
Organization
Contact information
Practice address
11940 W CENTRAL AVE, SUITE 100, WICHITA, KS 67212-5180
(316) 721-6730
(316) 722-2736
Mailing address
11940 W CENTRAL AVE, SUITE 100, WICHITA, KS 67212-5180
(316) 721-6730
(316) 722-2736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7149
KS
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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