Individual
DR. CARA LEE DETMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8404 W 13TH ST N STE 200, WICHITA, KS 67212-2978
(316) 721-8100
Mailing address
12929 W HARVEST CT, WICHITA, KS 67235-7026
(316) 680-6384
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61578
KS
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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