| Professional Endodontics | |
|
7570 W 21st St N Ste 1042b Wichita KS 67205-1763 | |
| (316) 729-5670 | |
| (316) 729-5496 |
| Full Name | Professional Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 7570 W 21st St N Ste 1042b, Wichita, Kansas |
| Authorized Official Name and Position | Monica Turner Turner (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 3167295670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Endodontics 7570 W 21st St N Ste 1042b Wichita KS 67205-1763 Ph: (316) 729-5670 | Professional Endodontics 7570 W 21st St N Ste 1042b Wichita KS 67205-1763 Ph: (316) 729-5670 |
| NPI Number | 1255526091 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255526091 | NPI | - | NPPES |
| 1376527614 | Other | KS | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 60147 (Kansas) | Primary |
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