| Dental Corner Pa | |
|
2046 N Oliver St Wichita KS 67208-2503 | |
| (316) 681-2425 | |
| (316) 681-0947 |
| Full Name | Dental Corner Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2046 N Oliver St, Wichita, Kansas |
| Authorized Official Name and Position | J Warren Hildreth (PRESIDENT) |
| Authorized Official Contact | 7854567083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Corner Pa 2046 N Oliver St Wichita KS 67208-2503 Ph: (316) 681-2425 | Dental Corner Pa 2046 N Oliver St Wichita KS 67208-2503 Ph: (316) 681-2425 |
| NPI Number | 1134119779 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134119779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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