KEN VANDEWALLE

SAN ANTONIO, TX
NPI1497164503
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TX  12081)
Enumeration Date2014-08-04
Last Update Date2014-08-04
Business Address
Dr. KEN VANDEWALLE DDS
6535 CAGNON RD
SAN ANTONIO, TX 78252-2211
Phone number: 210-675-6620
Mailing Address
Dr. KEN VANDEWALLE DDS
6535 CAGNON RD
SAN ANTONIO, TX 78252-2211
Phone number: 210-675-6620