John R Provenzano Dds,pa is a Oral and Maxillofacial Surgery (Dentist) based in Wichita, KS and is specialized in Oral and Maxillofacial Surgery. John R Provenzano Dds,pa practices in Wichita, KS. The NPI Number for John R Provenzano Dds,pa is 1639449259 and holds a License No. 6557 (Kansas).
The current practice location address for John R Provenzano Dds,pa is 1515 S Clifton Ave Ste 120, Wichita, KS and can be reached out via phone at 316-681-3757 and via fax at 316-652-0602.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019243 | 01 | KS | MEDICARE P-TAN |
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