BRAISDANALLC NPI 1992195234

NPI Information

BRAISDANALLC 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. BRAISDANALLC NPI is 1992195234. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Behnaz Raisdana, Dds.

The provider's business location address is:

13605 W MAPLE ST
SUITE 107 & 109
WICHITA, KS
ZIP 67235-759
Phone: (316) 304-1582

The provider's authorized official is Behnaz Raisdana .
The authorized official title is Owner Dentist and has the following contact phone number (316) 304-1582.

The enumeration date for this NPI number is 1/26/2015 and was last updated on 1/30/2015.

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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