ANDRE THIBAULT, DDS, PA
Organization (NPI-2)
Active
Dentist, Endodontics
Provider Information
- NPI Number
1013203728- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3900 W CENTRAL AVE SUITE 100, WICHITA, KS, 672034928
- Phone
- (316) 616-1310
Specialties & Taxonomies
Dentist, Endodontics
Primary License: KS #6292