NPI 1972740843

Reflection Ridge Dental, LLC

Organisation Point of Service Wichita, KS

Practice location

Address: 7570 W 21st St N 1050b, Wichita, KS 67205-1734
Phone: (316) 721-2024
Fax: (316) 721-9189

Authorised official

Name: Michael a Dold
Title: Sole Member
Phone: (316) 721-2024

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 5688 (KS)

Other Point of Service providers in Kansas →

Registry record

NPI: 1972740843
Entity type: Organization
NPI issued: 14 Jan 2009
Record last updated: 14 Jan 2009

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.