Individual
KYLE MICHELE RANTA STRAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10601 PECAN PARK BLVD, SUITE 101, AUSTIN, TX 78750
(512) 823-0077
Mailing address
1415 NORTH STREET, AUSTIN, TX 78756
(512) 994-8807
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019027645
IL
122300000X
Dentist
Primary
27224
TX
Other
Enumeration date
06/16/2008
Last updated
11/30/2018
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