Dental Wellness of Kansas LLC

NPI #1396112009 in Wichita, Kansas

Provider Information

NPI Number: 1396112009
Entity Type: Organization
Organization Name: Dental Wellness of Kansas LLC
Primary Specialty: Dentist
Enumeration Date: Aug 28, 2015
Last Updated: Aug 28, 2015

Practice Location

Address: 1901 N WEBB RD
Address 2: SUITE A
City: Wichita
State: Kansas
ZIP Code: 67206-3415
Phone: (316) 685-8881

Authorized Official

Name: DR. KREG WILLIAM BOYNTON, DDS
Title: DENTIST/OWNER
Phone: (316) 685-8881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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