| Lubbock Kids Dental Pllc | |
|
1504 Buddy Holly Ave Lubbock TX 79401-5131 | |
| (806) 749-5437 | |
| (806) 744-7241 |
| Full Name | Lubbock Kids Dental Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1504 Buddy Holly Ave, Lubbock, Texas |
| Authorized Official Name and Position | Kay Kennel (CEO) |
| Authorized Official Contact | 8064384329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lubbock Kids Dental Pllc 1504 Buddy Holly Ave Lubbock TX 79401-5131 Ph: (806) 749-5437 | Lubbock Kids Dental Pllc 1504 Buddy Holly Ave Lubbock TX 79401-5131 Ph: (806) 749-5437 |
| NPI Number | 1124396312 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 12/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124396312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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› Verified 5 days ago
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