| NPI | 1508546359 |
|---|---|
| Doing Business As | WICHITA FAMILY DENTAL EAST |
| Entity Type | Organization |
| Authorized Contact | WILLIAM LITTLE CEO 870-293-6264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |