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WICHITA ORAL SURGERY LLC

Organization (NPI-2) Active

Clinic/Center, Oral and Maxillofacial Surgery

Provider Information

NPI Number
1164914982
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
12611 E 21ST ST N, WICHITA, KS, 672063594
Phone
(316) 742-1506
Fax
(316) 742-1507

Specialties & Taxonomies

Clinic/Center, Oral and Maxillofacial Surgery Primary

All Addresses

MAILING

12611 E 21ST ST N

WICHITA, KS, 672063594

(316) 742-1506

LOCATION

12611 E 21ST ST N

WICHITA, KS, 672063594

(316) 742-1506