Individual
GILBERT R OMIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7207 E 21ST ST N, WICHITA, KS 67206-3916
(316) 683-0440
(316) 689-0300
Mailing address
7207 E 21ST ST N, WICHITA, KS 67206-3916
(316) 683-0440
(316) 689-0300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7035
KS
Other
Enumeration date
02/28/2006
Last updated
09/02/2015
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