Pauly Dental LLC

NPI #1164817243 in Wichita, Kansas

Provider Information

NPI Number: 1164817243
Entity Type: Organization
Organization Name: Pauly Dental LLC
Primary Specialty: Dentist
Enumeration Date: Apr 5, 2015
Last Updated: Apr 5, 2015

Practice Location

Address: 1035 N EMPORIA ST
Address 2: SUITE 102
City: Wichita
State: Kansas
ZIP Code: 67214-2944
Phone: (316) 263-0889

Authorized Official

Name: DR. TERRA PAULY, DDS
Title: MEMBER
Phone: (316) 285-8755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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