TWIN LAKES DENTAL PA NPI 1003027749

NPI Information

TWIN LAKES DENTAL PA is a general practice dentist in Wichita, KS. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TWIN LAKES DENTAL PA NPI is 1003027749. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Adventure Dental And Vision.

The provider's business location address is:

1901 W 21ST ST
WICHITA, KS
ZIP 67203-106
Phone: (316) 832-2838
Fax: (316) 832-9530

The provider's authorized official is Shaun Urbanozo .
The authorized official title is Credentialing Manager and has the following contact phone number (719) 323-2362.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 10/22/2019.

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:

Other Identifiers

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