| Maize Dental Studio Pa | |
|
10240 W 29th St N Ste 102 Wichita KS 67205-7913 | |
| (918) 998-0996 | |
| Not Available |
| Full Name | Maize Dental Studio Pa |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 10240 W 29th St N Ste 102, Wichita, Kansas |
| Authorized Official Name and Position | Creed Cardon (PRESIDENT) |
| Authorized Official Contact | 9189980996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maize Dental Studio Pa 400 Riverwalk Ter Ste 250 Jenks OK 74037-5619 Ph: (918) 998-0996 | Maize Dental Studio Pa 10240 W 29th St N Ste 102 Wichita KS 67205-7913 Ph: (918) 998-0996 |
| NPI Number | 1689470650 |
|---|---|
| Provider Enumeration Date | 02/20/2025 |
| Last Update Date | 02/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689470650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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