Cottonwood Dental Kellogg, P.a.

NPI #1063099943 in Wichita, Kansas

Provider Information

NPI Number: 1063099943
Entity Type: Organization
Organization Name: Cottonwood Dental Kellogg, P.a.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 26, 2021
Last Updated: Mar 26, 2021

Practice Location

Address: 11333 E KELLOGG DR STE 900
City: Wichita
State: Kansas
ZIP Code: 67207-1960
Phone: (918) 998-0996

Authorized Official

Name: MIKE YATES
Title: CFO
Phone: (919) 998-0996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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