Reflection Ridge Dental, LLC

NPI #1972740843 in Wichita, Kansas

Provider Information

NPI Number: 1972740843
Entity Type: Organization
Organization Name: Reflection Ridge Dental, LLC
Primary Specialty: Point of Service
Enumeration Date: Jan 14, 2009
Last Updated: Jan 14, 2009

Practice Location

Address: 7570 W 21ST ST N
Address 2: 1050B
City: Wichita
State: Kansas
ZIP Code: 67205-1734
Phone: (316) 721-2024

Authorized Official

Name: MICHAEL A DOLD, D.D.S.
Title: SOLE MEMBER
Phone: (316) 721-2024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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