Trinity River Dental Professional Corporation
Trinity River Dental Professional Corporation provides General Practice Dentistry in Wichita, Kansas. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
Practice location Address checks out
1619 N Waterfront PkwyWichita, KS 67206-6602
Phone: (916) 517-9905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 54500 (CA) |
|---|
Record details
| NPI number | 1326354754 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Preddis Sullivan — President · (916) 517-9905 |
| Other names | Northern California Dental Sleep Therapy Center |
| NPI enumerated | August 23, 2010 |
| Last updated in NPPES | October 6, 2022 |
| Certification date | October 6, 2022 |
| Mailing address | 3620 N Crest Ct, Wichita, KS 67226-1019 |
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