Dentistswichita LLC

NPI #1063170025 in Wichita, Kansas

Provider Information

NPI Number: 1063170025
Entity Type: Organization
Organization Name: Dentistswichita LLC
Primary Specialty: Dentist
Enumeration Date: Dec 7, 2021
Last Updated: Dec 7, 2021

Practice Location

Address: 7520 W VILLAGE CIR
City: Wichita
State: Kansas
ZIP Code: 67205-9362
Phone: (316) 722-1110

Authorized Official

Name: DR. ERIC S FARMER, DDS
Title: DENTIST
Phone: (316) 722-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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