| NPI | 1154504918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIETMAR KENNEL Owner/Partner 806-795-9503 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 19264) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |