Perry Endodontics Llc | |
215 S Hillside St Wichita KS 67211-2128 | |
(316) 681-3479 | |
Not Available |
Full Name | Perry Endodontics Llc |
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Speciality | Dentist - Endodontics |
Location | 215 S Hillside St, Wichita, Kansas |
Authorized Official Name and Position | Shayne Perry (OWNER) |
Authorized Official Contact | 8017123631 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Perry Endodontics Llc 215 S Hillside St Wichita KS 67211-2128 Ph: (316) 681-3479 | Perry Endodontics Llc 215 S Hillside St Wichita KS 67211-2128 Ph: (316) 681-3479 |
NPI Number | 1568890515 |
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Provider Enumeration Date | 10/29/2013 |
Last Update Date | 10/29/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568890515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 61060 (Kansas) | Primary |
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