NPI 1013252097

Midwest Dental Kansas Wichita Woodlawn PA

Organisation Dentist Wichita, KS

Practice location

Address: 401 N Woodlawn St, Wichita, KS 67208-4335
Phone: (316) 686-6601
Fax: (316) 686-6602

Authorised official

Name: Diana L Quillin
Title: Owner
Phone: (316) 686-6601

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 7071 (KS)

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Registry record

NPI: 1013252097
Entity type: Organization
NPI issued: 3 Dec 2012
Record last updated: 3 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.