Midwest Dental Kansas Wichita Woodlawn PA

NPI #1013252097 in Wichita, Kansas

Provider Information

NPI Number: 1013252097
Entity Type: Organization
Organization Name: Midwest Dental Kansas Wichita Woodlawn PA
Primary Specialty: Dentist
Enumeration Date: Dec 3, 2012
Last Updated: Dec 3, 2012

Practice Location

Address: 401 N WOODLAWN ST
City: Wichita
State: Kansas
ZIP Code: 67208-4335
Phone: (316) 686-6601

Authorized Official

Name: DIANA L QUILLIN, DDS
Title: OWNER
Phone: (316) 686-6601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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