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Organization

MARKETPLACE DENTISTRY, PA

Active
Other names
Marketplace Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
BRETT T. LYMAN DDS (OWNER)
(316) 252-3075
Entity
Organization

Contact information

Practice address
10240 W 29TH ST N STE 102, WICHITA, KS 67205-7914
(316) 252-3075
(316) 252-3080
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
04/11/2018
Last updated
05/11/2022
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