Organization · Type 2 NPI

Wichita Oral Surgery LLC

Oral and Maxillofacial Surgery Clinic/Center · Wichita, KS

NPI number 1164914982 Active

Practice location

12611 E 21st St N
Wichita, KS 67206-3594

Fax (316) 742-1507

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XNone listed

Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1164914982

Wichita Oral Surgery LLC's National Provider Identifier is 1164914982, issued on Jun 6, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Wichita, KS. The record was last updated on Jun 6, 2018.