Organization
LUBBOCK KIDS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAY KENNEL (CEO)
(806) 438-4329
Entity
Organization
Contact information
Practice address
1504 BUDDY HOLLY AVE, LUBBOCK, TX 79401-5131
(806) 749-5437
(806) 744-7241
Mailing address
1504 BUDDY HOLLY AVE, LUBBOCK, TX 79401-5131
(806) 749-5437
(806) 744-7241
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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