Waving Wheat Dental LLC

NPI #1790667491 in Eudora, Kansas

Provider Information

NPI Number
1790667491
Entity Type
Organization
Organization Name
Waving Wheat Dental LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jul 23, 2025
Last Updated
Jul 23, 2025

Practice Location

Address
104 W 20TH ST STE 3
City
Eudora
State
Kansas
ZIP Code
66025-8112
Phone
(785) 542-9105

Authorized Official

Name
BRIANNE KOESTER, DDS
Title
PRACTICE OWNER
Phone
(785) 542-9105

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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