John R Provenzano, DDS, Dentist

1515 S Clifton Ave
Ste 120
Wichita, KS  67218-2900 (Sedgwick County)

Phone: 316-681-3757
Fax: 316-652-0602
Email: joh***@*****tt.net

NPI: 1710955430
License Number: 6557 (KS)