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Wichita Family Dental South Llc
Dental Clinic/Center in Derby, Kansas
NPI 1194365817

Wichita Family Dental South Llc is a Dental Clinic/Center based in Wichita, KS and is specialized in Dental. Wichita Family Dental South Llc practices in Derby, KS. The NPI Number for Wichita Family Dental South Llc is 1194365817 and holds a License No. (Kansas).

The current practice location address for Wichita Family Dental South Llc is 1120 N Rock Rd Ste 100, Derby, KS and can be reached out via phone at 316-630-9339.

Location: 1120 N Rock Rd Ste 100, Derby, KS, 67206-2971
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194365817
Provider Name
Wichita Family Dental South Llc
Credential
Provider Entity Type
Organization
Address
1120 N Rock Rd Ste 100, Derby, KS, 67206-2971
Phone Number
316-630-9339
Fax Number
Provider Enumeration Date
01/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1120 N Rock Rd Ste 100
City
Derby
State
Kansas
Zip
67037-3587
Phone Number
316-630-9339
Fax Number
person
Provider Business Mailing Address Details
Address
1120 N Rock Rd Ste 100
City
Derby
State
Kansas
Zip
67037-3587
Phone Number
316-630-9339
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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