DR. Jared Mark Reichenberger

NPI #1043446701 in Wichita, Kansas

Provider Information

NPI Number: 1043446701
Entity Type: Individual
Name: DR. Jared Mark Reichenberger
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 8, 2009
Last Updated: Jul 14, 2021

Practice Location

Address: 10243 W 21ST ST N STE 101
City: Wichita
State: Kansas
ZIP Code: 67205-1891
Phone: (316) 295-2858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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