institution
Wichita Pediatric Dentistry
Pediatric Dentist in Wichita, Kansas
NPI 1467507400

Wichita Pediatric Dentistry is a Pediatric Dentist based in Wichita, KS and is specialized in Pediatric Dentistry. Wichita Pediatric Dentistry practices in Wichita, KS. The NPI Number for Wichita Pediatric Dentistry is 1467507400 and holds a License No. 1223PO221X (Kansas).

The current practice location address for Wichita Pediatric Dentistry is 1230 N Broadmoor Ave, Wichita, KS and can be reached out via phone at 361-630-0090 and via fax at 316-630-0099.

Location: 1230 N Broadmoor Ave, Wichita, KS, 67206-3891
institution
Provider Profile Details
NPI Number
1467507400
Provider Name
Wichita Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
1230 N Broadmoor Ave, Wichita, KS, 67206-3891
Phone Number
361-630-0090
Fax Number
316-630-0099
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1230 N Broadmoor Ave
City
State
Zip
67206-3891
Phone Number
361-630-0090
Fax Number
316-630-0099
person
Provider Business Mailing Address Details
Address
1230 N Broadmoor Ave
City
State
Zip
67206-3891
Phone Number
361-630-0090
Fax Number
316-630-0099
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
1223PO221X (Kansas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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