Ict Dentistry Llc | |
3151 N Rock Rd Wichita KS 67226-1312 | |
(316) 272-7876 | |
Not Available |
Full Name | Ict Dentistry Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 3151 N Rock Rd, Wichita, Kansas |
Authorized Official Name and Position | Trenton Ebersole (OWNER) |
Authorized Official Contact | 3162727876 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ict Dentistry Llc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Ict Dentistry Llc 3151 N Rock Rd Wichita KS 67226-1312 Ph: (316) 272-7876 |
NPI Number | 1558092940 |
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Provider Enumeration Date | 06/17/2022 |
Last Update Date | 06/20/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558092940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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