| Moxley Family Dental, Llc | |
|
15455 E 13th St N Wichita KS 67230-7572 | |
| (316) 304-8884 | |
| Not Available |
| Full Name | Moxley Family Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15455 E 13th St N, Wichita, Kansas |
| Authorized Official Name and Position | Mariah Moxley (DENTIST/OWNER) |
| Authorized Official Contact | 3163048884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moxley Family Dental, Llc 15455 E 13th St N Wichita KS 67230-7572 Ph: (316) 304-8884 | Moxley Family Dental, Llc 15455 E 13th St N Wichita KS 67230-7572 Ph: (316) 304-8884 |
| NPI Number | 1225653959 |
|---|---|
| Provider Enumeration Date | 06/09/2020 |
| Last Update Date | 06/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225653959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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