DR. Mariah Moxley, DDS

NPI #1073173050 in Wichita, Kansas

Provider Information

NPI Number: 1073173050
Entity Type: Individual
Name: DR. Mariah Moxley, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 20, 2019
Last Updated: Jun 9, 2020

Practice Location

Address: 900 N TYLER RD STE 2
City: Wichita
State: Kansas
ZIP Code: 67212-3249
Phone: (316) 722-2596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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