Twin Lakes Dental PA

NPI #1003027749 in Wichita, Kansas

Provider Information

NPI Number: 1003027749
Entity Type: Organization
Organization Name: Twin Lakes Dental PA
Primary Specialty: Dentist - General Practice
Enumeration Date: May 24, 2007
Last Updated: Sep 9, 2025

Practice Location

Address: 1901 W 21ST ST
City: Wichita
State: Kansas
ZIP Code: 67203-2106
Phone: (316) 832-2838

Authorized Official

Name: SHAUN URBANOZO
Title: CREDENTIALING MANAGER
Phone: (719) 323-2362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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