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Contact Information

REFLECTION RIDGE DENTAL, LLC
7570 W 21ST ST N
1050B
WICHITA, KS67205-1734
 Phone: 316-721-2024
 Fax: 316-721-9189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for REFLECTION RIDGE DENTAL, LLC

NPI # 1972740843
LBN Legal business name REFLECTION RIDGE DENTAL, LLC
Authorized official MICHAEL DOLD - (SOLE MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/14/2009
Last updated 01/14/2009 - About 17 years ago
Identifiers
KS License # 5688
KS Other 1891774535 NPI OF DR DOLD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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