Organization · Type 2 NPI
Wichita Family Dental South LLC
Dental Clinic/Center · Derby, KS
NPI number
1194365817
Active
Practice location
1120 N Rock Rd Ste 100
Derby, KS 67037-3587
Mailing address
9339 E 21st St N
Wichita, KS 67206-2971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Derby
About NPI 1194365817
Wichita Family Dental South LLC's National Provider Identifier is 1194365817, issued on Jan 10, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Derby, KS. The record was last updated on Jan 10, 2020.