KRAIG STEPHEN VANDEWALLE

JBSA LACKLAND, TX
NPI1396710182
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  14137)
Enumeration Date2006-02-23
Last Update Date2021-01-27
Business Address
Dr. KRAIG STEPHEN VANDEWALLE DDS, MS
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-0760
Mailing Address
Dr. KRAIG STEPHEN VANDEWALLE DDS, MS
1615 TRUEMPER ST
JBSA LACKLAND, ZZ
Phone number:
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