| East Wfd Gps Llc | |
|
9339 E 21st St N Wichita KS 67206-2971 | |
| (316) 333-6446 | |
| Not Available |
| Full Name | East Wfd Gps Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9339 E 21st St N, Wichita, Kansas |
| Authorized Official Name and Position | William Little (CEO) |
| Authorized Official Contact | 8702936264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Wfd Gps Llc Po Box 17151 Jonesboro AR 72403-6720 Ph: () - | East Wfd Gps Llc 9339 E 21st St N Wichita KS 67206-2971 Ph: (316) 333-6446 |
| NPI Number | 1508546359 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 07/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508546359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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