Individual
MR. RYAN DEREK LOUDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1901 W 21ST ST N, WICHITA, KS 67203-2106
(620) 424-1409
Mailing address
1901 W 21ST ST N, WICHITA, KS 67203-2106
(316) 832-2838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60014
KS
Other
Enumeration date
04/09/2007
Last updated
05/20/2008
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