Organization
KENNETH R DIBBLE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH REID DIBBLE DDS (OWNER/PRESIDENT)
(801) 232-7022
Entity
Organization
Contact information
Practice address
1509 NORTHWEST HWY, GARLAND, TX 75041-5231
(972) 840-6100
Mailing address
908 E RIPARIAN DR, DRAPER, UT 84020-8541
(801) 232-7022
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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