| Precision Dental West, Llc | |
|
3900 W Central Ave Ste 100 Wichita KS 67203-4928 | |
| (316) 558-3993 | |
| (316) 558-3995 |
| Full Name | Precision Dental West, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3900 W Central Ave Ste 100, Wichita, Kansas |
| Authorized Official Name and Position | Graciela Degroot (OFFICE MANAGER) |
| Authorized Official Contact | 3165583993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Precision Dental West, Llc 3900 W Central Ave Ste 100 Wichita KS 67203-4928 Ph: (316) 558-3993 | Precision Dental West, Llc 3900 W Central Ave Ste 100 Wichita KS 67203-4928 Ph: (316) 558-3993 |
| NPI Number | 1851937650 |
|---|---|
| Provider Enumeration Date | 11/27/2019 |
| Last Update Date | 11/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851937650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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