Individual
CRAIG HARDING RHYNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, FACS
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-2758
Mailing address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW, JBSA LACKLAND, TX 78236-9908
(210) 292-6225
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
32791
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3778-691OS
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6963
OK
Other
Enumeration date
08/18/2005
Last updated
01/25/2021
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