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1982275202
KYLE DETMER
WICHITA, KS
NPI
1982275202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KS 61906)
Enumeration Date
2021-07-07
Last Update Date
2021-07-07
Business Address
KYLE DETMER DDS
404 S EDGEMOOR ST STE 320
WICHITA, KS 67218-1632
Phone number: 316-559-3993
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Mailing Address
KYLE DETMER DDS
8930 W SUNCREST ST APT 603
WICHITA, KS 67212-4069
Phone number: 316-617-7184
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