Whalio Doctors

NPI 1013926955

Dietmar a Kennel, DDS

Practitioner Pediatric Dentistry Lubbock, TX

Practice location

Address
1504 Buddy Holly Ave, Lubbock, TX 79401-5131
Phone
(806) 749-5437
Fax
(806) 744-7241
Mailing address
5601 County Road 1440, Lubbock, TX 79407-5785

Registered specialties

Pediatric Dentistry Primary
Dental Providers Taxonomy 1223P0221X Licence 19264 (TX)

Registry record

NPI
1013926955
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Aug 2006
Record last updated
2 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.