Dental Care of Wichita PA

NPI #1003570110 in Wichita, Kansas

Provider Information

NPI Number: 1003570110
Entity Type: Organization
Organization Name: Dental Care of Wichita PA
Primary Specialty: Dentist
Enumeration Date: Oct 25, 2021
Last Updated: Oct 25, 2021

Practice Location

Address: 5805 E CENTRAL AVE
City: Wichita
State: Kansas
ZIP Code: 67208-4204
Phone: (316) 684-8261

Authorized Official

Name: CREED CARDON, DDS
Title: OWNER
Phone: (918) 998-0996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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