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1013926955
DIETMAR A KENNEL
LUBBOCK, TX
NPI
1013926955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: TX 19264)
Enumeration Date
2006-08-07
Last Update Date
2009-02-02
Business Address
Dr. DIETMAR A KENNEL DDS
1504 BUDDY HOLLY AVE
LUBBOCK, TX 79401-5131
Phone number: 806-749-5437
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Mailing Address
Dr. DIETMAR A KENNEL DDS
5601 COUNTY ROAD 1440
LUBBOCK, TX 79407-5785
Phone number: 806-438-0481
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