Organization
REFLECTION RIDGE DENTAL, LLC
Active
Organization
REFLECTION RIDGE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A DOLD D.D.S. (SOLE MEMBER)
(316) 721-2024
Entity
Organization
Contact information
Practice address
7570 W 21ST ST N, 1050B, WICHITA, KS 67205-1734
(316) 721-2024
(316) 721-9189
Mailing address
7570 W 21ST ST N, 1050B, WICHITA, KS 67205-1734
(316) 721-2024
(316) 721-9189
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
5688
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891774535
NPI OF DR DOLD
KS
Enumeration date
01/14/2009
Last updated
01/14/2009
Update your record
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