Individual
DR. HUBERT LEE KAVANAGH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1817 BROTHERS BLVD, SUITE B, COLLEGE STATION, TX 77845-5477
(979) 485-8500
Mailing address
PO BOX 10528, COLLEGE STATION, TX 77842-0528
(979) 485-8500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21581
TX
Other
Enumeration date
08/13/2007
Last updated
09/02/2009
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