| Hillside Endodontics Llc | |
|
215 S. Hillside Wichita KS 67211-2128 | |
| (316) 681-3479 | |
| (316) 681-0346 |
| Full Name | Hillside Endodontics Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 215 S. Hillside, Wichita, Kansas |
| Authorized Official Name and Position | Craig F Hoffman (OWNER) |
| Authorized Official Contact | 3166811099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillside Endodontics Llc 215 S. Hillside Wichita KS 67211-2128 Ph: (316) 681-3479 | Hillside Endodontics Llc 215 S. Hillside Wichita KS 67211-2128 Ph: (316) 681-3479 |
| NPI Number | 1417476847 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 09/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417476847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 6545 (Kansas) | Primary |
| 1223E0200X | Dentist - Endodontics | 60398 (Kansas) | Secondary |
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