WICHITA ORAL SURGERY LLC

WICHITA, KS
NPI1164914982
Entity TypeOrganization
Authorized ContactANGELIKA ROE
Credentialing
888-247-1869
Organization Subpart ?No
Primary Taxonomy261QS0112X Clinic/Center, Oral and Maxillofacial Surgery
Enumeration Date2018-06-06
Last Update Date2018-06-06
Business Address
WICHITA ORAL SURGERY LLC
12611 E 21ST ST N
WICHITA, KS 67206-3594
Phone number: 316-742-1506
Mailing Address
WICHITA ORAL SURGERY LLC
12611 E 21ST ST N
WICHITA, KS 67206-3594
Phone number: 316-742-1506