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E C Tyree Health & Dental Clinic, INC.

Voluntary or Charitable in Wichita, KS. Organization (NPI-2).

NPI number1295915841
StatusActive
Last updated in NPPESApr 22, 2008

Details

NPI
1295915841
Entity type
Organization (NPI-2)
Legal business name
E C Tyree Health & Dental Clinic, INC.
Organization subpart
No
Enumeration date
Nov 12, 2007
Last updated
Apr 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251V00000X Voluntary or Charitable––Yes

Practice location

1525 N Lorraine St
Wichita, KS 67214-2444

Phone 316-681-2545 · Fax 316-681-2549

Mailing address

1525 N Lorraine St
Wichita, KS 67214-2444

Phone 316-681-2545 · Fax 316-681-2549

Authorized official

Schaunta L James Boyd
Executive Director
3166812545

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