RUSSELL LAYNE COAD

WICHITA, KS
NPI1104900430
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: KS  6184)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
Dr. RUSSELL LAYNE COAD D.D.S.
3525 N RIDGE RD STE 100
WICHITA, KS 67205-1212
Phone number: 316-773-3882
Mailing Address
Dr. RUSSELL LAYNE COAD D.D.S.
3525 N RIDGE RD STE 100
WICHITA, KS 67205-1212
Phone number: 316-773-3882