| Kenneth R Dibble Dds | |
|
1509 Northwest Hwy Garland TX 75041-5231 | |
| (972) 840-6100 | |
| Not Available |
| Full Name | Kenneth R Dibble Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1509 Northwest Hwy, Garland, Texas |
| Authorized Official Name and Position | Kenneth Reid Dibble (OWNER/PRESIDENT) |
| Authorized Official Contact | 8012327022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Dibble Dds 908 E Riparian Dr Draper UT 84020-8541 Ph: (801) 232-7022 | Kenneth R Dibble Dds 1509 Northwest Hwy Garland TX 75041-5231 Ph: (972) 840-6100 |
| NPI Number | 1891434445 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891434445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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