NPI 1023209434

Suman Gorantla, DMD

Practitioner Dentist Wichita, KS

Practice location

Address: 7015 E Central Ave, Wichita, KS 67206-1943
Phone: (316) 684-5184

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 30022591 (OH)

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Registry record

NPI: 1023209434
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2007
Record last updated: 23 Apr 2021

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.