Individual
JONAS LICHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1919 N WEBB RD, WICHITA, KS 67206-3405
(316) 634-1414
(316) 634-2907
Mailing address
1919 N WEBB RD, WICHITA, KS 67206-3405
(316) 634-1414
(316) 634-2907
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
60782
KS
Other
Enumeration date
02/29/2008
Last updated
07/25/2011
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