| Craig B Lashley Dds Pa | |
|
2105 N. Ridge Rd Wichita KS 67212-1417 | |
| (316) 773-1177 | |
| (316) 773-2693 |
| Full Name | Craig B Lashley Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2105 N. Ridge Rd, Wichita, Kansas |
| Authorized Official Name and Position | Craig B Lashley (OWNER/DENTIST) |
| Authorized Official Contact | 3167731177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig B Lashley Dds Pa 2105 N. Ridge Rd. Wichita KS 67212-1417 Ph: (316) 773-1177 | Craig B Lashley Dds Pa 2105 N. Ridge Rd Wichita KS 67212-1417 Ph: (316) 773-1177 |
| NPI Number | 1194921502 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194921502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7127 (Kansas) | Primary |
| 305R00000X | Preferred Provider Organization | 7127 (Kansas) | Secondary |
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