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Individual

DR. CRAIG KNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MD

Contact information

Practice address
12416 HYMEADOW DRIVE, AUSTIN, TX 78750-2281
(512) 258-3764
(512) 258-6348
Mailing address
P.O. BOX 49500, AUSTIN, TX 78765-9500
(512) 454-1220

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22738
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22738
TX
390200000X
Student in an Organized Health Care Education/Training Program
22738
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/06/2006
Last updated
06/12/2014
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