| Landreth Team Dentistry | |
|
4620 E Douglas Ave Wichita KS 67208-3930 | |
| (316) 685-9276 | |
| (316) 685-2973 |
| Full Name | Landreth Team Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4620 E Douglas Ave, Wichita, Kansas |
| Authorized Official Name and Position | Estel Lee Landreth (DENTIST) |
| Authorized Official Contact | 3166859276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Landreth Team Dentistry 4620 E Douglas Ave Wichita KS 67208-3930 Ph: (316) 685-9276 | Landreth Team Dentistry 4620 E Douglas Ave Wichita KS 67208-3930 Ph: (316) 685-9276 |
| NPI Number | 1083753917 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083753917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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