Individual
DR. IAN JAMESON KAEMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
59 DG-AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL ST. BLDG #3352, JBSA-LACKLAND, TX 78236
(210) 292-6258
(210) 292-2618
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-9038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DGD.8272 GD
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DGD.8272
SC
Other
Enumeration date
08/01/2013
Last updated
07/30/2024
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