Individual
DR. KURTIS GENE HAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4102 PINION DRIVE, 10TH MEDICAL GROUP, USAF ACADEMY, CO 80840-2502
(719) 333-5192
Mailing address
4102 PINION DRIVE, 10TH MEDICAL GROUP, USAF ACADEMY, CO 80840-2502
(719) 333-5192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6391
OK
Other
Enumeration date
09/25/2013
Last updated
09/08/2016
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