JOHN R PROVENZANO DDS,PA

Oral and Maxillofacial Surgery (Dentist)

NPI: 1639449259Organization

Specialties, Licenses & Credentials

Oral and Maxillofacial Surgery (Dentist)Primary

Dentist — Oral and Maxillofacial Surgery

Code: 1223S0112X

6557(KS)

Contact & Hours

Address: 1515 S CLIFTON AVE STE 120
WICHITA, KS 67218
Phone: (316) 681-3757

Quick Facts

NPI: 1639449259
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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