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1124188289
KIMBERLY HANYSAK
SAN ANTONIO, TX
NPI
1124188289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX 20325)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
-- KIMBERLY HANYSAK
17700 SAN PEDRO AVE SUITE 320
SAN ANTONIO, TX 78232-1404
Phone number: 210-495-6255
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Mailing Address
-- KIMBERLY HANYSAK
1218 SW MILITARY DR
SAN ANTONIO, TX 78221-1535
Phone number: 210-495-6255
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