E C TYREE HEALTH & DENTAL CLINIC INC. NPI 1295915841

NPI Information

E C TYREE HEALTH & DENTAL CLINIC, INC. is a voluntary or charitable in Wichita, KS. E C TYREE HEALTH & DENTAL CLINIC, INC. NPI is 1295915841. The provider is registered as an organization entity type.

The provider's business location address is:

1525 N LORRAINE ST
WICHITA, KS
ZIP 67214-444
Phone: (316) 681-2545
Fax: (316) 681-2549

The provider's authorized official is Schaunta L James Boyd .
The authorized official title is Executive Director and has the following contact phone number (316) 681-2545.

The enumeration date for this NPI number is 11/12/2007 and was last updated on 4/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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