| Twietmeyer Family Dentistry Llc | |
|
3920 W 31st St S Wichita KS 67217-1112 | |
| (316) 942-3113 | |
| Not Available |
| Full Name | Twietmeyer Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3920 W 31st St S, Wichita, Kansas |
| Authorized Official Name and Position | Charles D Twietmeyer (GENERAL DENTIST) |
| Authorized Official Contact | 3169423113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twietmeyer Family Dentistry Llc 3920 W 31st St S Wichita KS 67217-1112 Ph: (316) 942-3113 | Twietmeyer Family Dentistry Llc 3920 W 31st St S Wichita KS 67217-1112 Ph: (316) 942-3113 |
| NPI Number | 1770187452 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 11/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770187452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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