| Kidspace Pediatric Dentistry,p.a | |
|
430 N Woodlawn St Ste 1 Wichita KS 67208-4334 | |
| (316) 684-2100 | |
| (316) 684-2101 |
| Full Name | Kidspace Pediatric Dentistry,p.a |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 430 N Woodlawn St Ste 1, Wichita, Kansas |
| Authorized Official Name and Position | Julie S. Le (OFFICE MANAGER) |
| Authorized Official Contact | 3166842100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspace Pediatric Dentistry,p.a 430 N Woodlawn St Ste 1 Wichita KS 67208-4334 Ph: (316) 684-2100 | Kidspace Pediatric Dentistry,p.a 430 N Woodlawn St Ste 1 Wichita KS 67208-4334 Ph: (316) 684-2100 |
| NPI Number | 1245370345 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245370345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 6522 (Kansas) | Primary |
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