| Midwest Dental | |
|
401 N Woodlawn St Wichita KS 67208-4335 | |
| (316) 686-6601 | |
| (316) 686-6602 |
| Full Name | Midwest Dental |
|---|---|
| Speciality | Dentist |
| Location | 401 N Woodlawn St, Wichita, Kansas |
| Authorized Official Name and Position | Diana L Quillin (OWNER) |
| Authorized Official Contact | 3166866601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Dental 401 N Woodlawn St Wichita KS 67208-4335 Ph: (316) 686-6601 | Midwest Dental 401 N Woodlawn St Wichita KS 67208-4335 Ph: (316) 686-6601 |
| NPI Number | 1013252097 |
|---|---|
| Provider Enumeration Date | 12/03/2012 |
| Last Update Date | 12/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013252097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7071 (Kansas) | Primary |
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