Wichita State University

NPI #1144495169 in Wichita, Kansas

Provider Information

NPI Number: 1144495169
Entity Type: Organization
Organization Name: Wichita State University
Primary Specialty: Dentist
Enumeration Date: Apr 30, 2008
Last Updated: Apr 30, 2008

Practice Location

Address: 1845 FAIRMOUNT ST
City: Wichita
State: Kansas
ZIP Code: 67260-9700
Phone: (316) 978-3614

Authorized Official

Name: DENISE MASEMAN
Title: CHAIRPERSON
Phone: (316) 978-3614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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