| Hillside Family Dentist, Pa | |
|
841 S Hillside St Wichita KS 67211-3005 | |
| (316) 681-1530 | |
| Not Available |
| Full Name | Hillside Family Dentist, Pa |
|---|---|
| Speciality | Dentist |
| Location | 841 S Hillside St, Wichita, Kansas |
| Authorized Official Name and Position | Scott Guest (AGENT) |
| Authorized Official Contact | 9136450079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillside Family Dentist, Pa 1648 S Ohio St Suite #259 Salina KS 67401-6360 Ph: (913) 645-0079 | Hillside Family Dentist, Pa 841 S Hillside St Wichita KS 67211-3005 Ph: (316) 681-1530 |
| NPI Number | 1205208568 |
|---|---|
| Provider Enumeration Date | 10/27/2015 |
| Last Update Date | 10/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205208568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 61268 (Kansas) | Primary |
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