Braisdanallc
Braisdanallc provides General Practice Dentistry in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2015.
- Licensed in
- KS
- In the registry since
- 2015
Practice location Address checks out
13605 W Maple St Ste 107 & 109Wichita, KS 67235-8759 Not confirmed with CMS for 11 years — call before visiting
Phone: (316) 304-1582
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 61092 (KS) |
|---|
Record details
| NPI number | 1992195234 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Behnaz Raisdana — Owner Dentist · (316) 304-1582 |
| Other names | Behnaz Raisdana, Dds |
| NPI enumerated | January 26, 2015 |
| Last updated in NPPES | January 30, 2015 |
| Mailing address | 9509 E Shannon Way Cir, Wichita, KS 67206-4042 |
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