Dietmar A Kennel DDS

NPI 1013926955 - Dentist - 1223P0221X

NPI Details
NPI 1013926955
Gender Male
Enumeration Date 08/07/2006
Last Updated 02/02/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1504 BUDDY HOLLY AVE
LUBBOCK TX, 79401-5131, US
Phone (806) 749-5437
Fax (806) 744-7241
Business Location
5601 COUNTY ROAD 1440
LUBBOCK TX, 79407-5785, US
Phone (806) 438-0481
Fax (806) 368-9984
Toxanomy
Taxonomy Code 1223P0221X
License State Texas
License Number 19264
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According to our database, Dr. Dietmar A Kennel DDS NPI is 1013926955, taxonomy code is 1223P0221X and license number is 19264, license state is located at Texas. Dietmar A Kennel DDS physically located at 1504 Buddy Holly Ave, Lubbock TX, 79401-5131. NPI Number Dietmar A Kennel DDS has the Individual type.

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1013926955 NPI number is provided on an as is basis without warranty of any kind. 1013926955 is maintained by the National Plan & Provider Enumeration System. The contents of Dietmar A Kennel DDS are for informational purposes only.