Organization
HANYSAK ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY L HANYSAK DDS MS (ORTHODONTIST)
(254) 640-1107
Entity
Organization
Contact information
Practice address
9108 JORDAN LANE STE 602, WACO, TX 76712
(254) 640-1107
Mailing address
7040 FLAGSTONE CIR, MCGREGOR, TX 76657-4123
(254) 640-1107
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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