ANDRE THIBAULT, DDS, PA

WICHITA, KS
NPI1013203728
Entity TypeOrganization
Authorized ContactANDRE ALAN THIBAULT
Owner
316-616-1310
Organization Subpart ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: KS  6292)
Enumeration Date2011-06-21
Last Update Date2011-06-21
Business Address
ANDRE THIBAULT, DDS, PA
3900 W CENTRAL AVE SUITE 100
WICHITA, KS 67203-4928
Phone number: 316-616-1310
Mailing Address
ANDRE THIBAULT, DDS, PA
3900 W CENTRAL AVE SUITE 100
WICHITA, KS 67203-4928
Phone number: 316-616-1310
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