WAYNE REUBEN LIUDAHL

WICHITA, KS
NPI1912029869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: KS  5312)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
-- WAYNE REUBEN LIUDAHL DDS
4805 W CENTRAL
WICHITA, KS 67212
Phone number: 316-945-9845
Mailing Address
-- WAYNE REUBEN LIUDAHL DDS
4805 W CENTRAL
WICHITA, KS 67212
Phone number: 316-945-9845