Individual
DR. NEDA VESSALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
132 N WEST ST, WICHITA, KS 67203-1246
(316) 943-3273
(316) 943-8491
Mailing address
132 N WEST ST, WICHITA, KS 67203-1246
(316) 214-1492
(316) 943-8491
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60079
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116602
BLUE CROSS BLUE SHIELD
KS
01
—
999298
UNITED CONCORDIA
—
Enumeration date
01/08/2007
Last updated
03/14/2023
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