| Wichita Dental Group At Founders Circle Llc | |
|
2043 N Founders Cir Ste 101 Wichita KS 67206-3564 | |
| (316) 250-6426 | |
| Not Available |
| Full Name | Wichita Dental Group At Founders Circle Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2043 N Founders Cir Ste 101, Wichita, Kansas |
| Authorized Official Name and Position | John Macy Lewis (PRESIDENT) |
| Authorized Official Contact | 3162506426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wichita Dental Group At Founders Circle Llc 2043 N Founders Cir Ste 101 Wichita KS 67206-3564 Ph: (316) 250-6426 | Wichita Dental Group At Founders Circle Llc 2043 N Founders Cir Ste 101 Wichita KS 67206-3564 Ph: (316) 250-6426 |
| NPI Number | 1821749516 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821749516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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