Individual
PAUL ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2143 N COLLECTIVE LN STE A, WICHITA, KS 67206-3505
(316) 260-6566
Mailing address
2143 N COLLECTIVE LN STE A, WICHITA, KS 67206-3505
(316) 260-6566
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60710
KS
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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