TRAVIS TANAKA

WICHITA, KS
NPI1790135580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KS  61205)
Enumeration Date2016-06-13
Last Update Date2016-08-15
Business Address
Dr. TRAVIS TANAKA
2860 S SENECA ST
WICHITA, KS 67217-2865
Phone number: 316-522-4759
Mailing Address
Dr. TRAVIS TANAKA
2860 S SENECA ST SUITE C
WICHITA, KS 67217-2865
Phone number: 316-522-4759
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