Dentistswichita Llc | |
7520 W Village Cir Wichita KS 67205-9362 | |
(316) 722-1110 | |
Not Available |
Full Name | Dentistswichita Llc |
---|---|
Speciality | Dentist |
Location | 7520 W Village Cir, Wichita, Kansas |
Authorized Official Name and Position | Eric S Farmer (DENTIST) |
Authorized Official Contact | 3167221110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dentistswichita Llc 7520 W Village Cir Wichita KS 67205-9362 Ph: (316) 722-1110 | Dentistswichita Llc 7520 W Village Cir Wichita KS 67205-9362 Ph: (316) 722-1110 |
NPI Number | 1063170025 |
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Provider Enumeration Date | 12/07/2021 |
Last Update Date | 12/07/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063170025 | NPI | - | NPPES |
61448 | Other | KS | DENTAL LICENSE |
6717 | Other | KS | DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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