Individual
MRS. AMY JEANETTE LEMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9339 E 21ST ST N, WICHITA, KS 67206-2971
(316) 630-9339
Mailing address
456 S 119TH ST W, WICHITA, KS 67235-1806
(316) 650-6199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61186
KS
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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