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Dr. Dietmar A Kennel, DDS
Pediatric Dentist in Lubbock, Texas
NPI 1013926955

Dietmar A Kennel is a Pediatric Dentist based in Lubbock, TX and is specialized in Pediatric Dentistry. Dietmar A Kennel practices in Lubbock, TX and has the professional credentials of DDS. The NPI Number for Dietmar A Kennel is 1013926955 and holds a License No. 19264 (Texas).

The current practice location address for Dietmar A Kennel is 1504 Buddy Holly Ave, Lubbock, TX and can be reached out via phone at 806-749-5437 and via fax at 806-744-7241.

Location: 1504 Buddy Holly Ave, Lubbock, TX, 79407-5785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013926955
Provider Name
Dietmar A Kennel
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1504 Buddy Holly Ave, Lubbock, TX, 79407-5785
Phone Number
806-749-5437
Fax Number
806-744-7241
Provider Enumeration Date
08/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1112112-02 05 TX
institution
Provider Business Practice Location Address Details
Address
1504 Buddy Holly Ave
City
Lubbock
State
Texas
Zip
79401-5131
Phone Number
806-749-5437
Fax Number
806-744-7241
person
Provider Business Mailing Address Details
Address
1504 Buddy Holly Ave
City
Lubbock
State
Texas
Zip
79401-5131
Phone Number
806-749-5437
Fax Number
806-744-7241
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
19264 (Texas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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