| Lk Anderson Dds Pa | |
|
372 S Hillside Witchita KS 67211 | |
| (316) 681-3178 | |
| (316) 681-2441 |
| Full Name | Lk Anderson Dds Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 372 S Hillside, Witchita, Kansas |
| Authorized Official Name and Position | Lana K Anderson (OWNER) |
| Authorized Official Contact | 3166813178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lk Anderson Dds Pa 372 S Hillside Wichita KS 67211 Ph: (316) 681-3178 | Lk Anderson Dds Pa 372 S Hillside Witchita KS 67211 Ph: (316) 681-3178 |
| NPI Number | 1710072921 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710072921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 6045 (Kansas) | Primary |
Wichita Endodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7721 W 21st St, Witchita, KS 67205 Phone: 316-681-1099 Fax: 316-661-2417 |