Individual
DR. SHANNON M BHARGAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1230 N BROADMOOR AVE, STE 300, WICHITA, KS 67206-3891
(316) 630-0002
Mailing address
4431 N CHERRY HILL ST, WICHITA, KS 67226-4221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60181
KS
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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