Organization
COTTONWOOD DENTAL MAIZE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED L CARDON (DDS)
(918) 998-0996
Entity
Organization
Contact information
Practice address
171 S MAIZE RD, WICHITA, KS 67209-3107
(316) 721-2010
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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