| Ibth Dental Pllc/krommenhoek And Hanle, D.d.s | |
|
4105 Westbank Dr Suite 103 Austin TX 78746-4455 | |
| (512) 327-6908 | |
| (512) 327-6695 |
| Full Name | Ibth Dental Pllc/krommenhoek And Hanle, D.d.s |
|---|---|
| Speciality | Dentist |
| Location | 4105 Westbank Dr, Austin, Texas |
| Authorized Official Name and Position | Dallas Krommenhoek (DENTIST) |
| Authorized Official Contact | 5123276908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ibth Dental Pllc/krommenhoek And Hanle, D.d.s 6341 Spanish Oaks Club Blvd Austin TX 78738-6040 Ph: (512) 327-6908 | Ibth Dental Pllc/krommenhoek And Hanle, D.d.s 4105 Westbank Dr Suite 103 Austin TX 78746-4455 Ph: (512) 327-6908 |
| NPI Number | 1740624634 |
|---|---|
| Provider Enumeration Date | 04/22/2013 |
| Last Update Date | 04/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740624634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24849 (Texas) | Primary |
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