Cottonwood Dental Kellogg, P.a. | |
11333 E Kellogg Dr Ste 900 Wichita KS 67207-1960 | |
(918) 998-0996 | |
Not Available |
Full Name | Cottonwood Dental Kellogg, P.a. |
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Speciality | Clinic/center - Dental |
Location | 11333 E Kellogg Dr Ste 900, Wichita, Kansas |
Authorized Official Name and Position | Mike Yates (CFO) |
Authorized Official Contact | 9199980996 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cottonwood Dental Kellogg, P.a. 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Cottonwood Dental Kellogg, P.a. 11333 E Kellogg Dr Ste 900 Wichita KS 67207-1960 Ph: (918) 998-0996 |
NPI Number | 1063099943 |
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Provider Enumeration Date | 03/26/2021 |
Last Update Date | 03/26/2021 |
Identifier | Type | State | Issuer |
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1063099943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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