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Search › Texas › Orthodontics and Dentofacial Orthopedics Dentistry

Kimberly Hanysak

NPI 1124188289 · on the registry since 2006

Practice

Address
17700 San Pedro Ave
Suite 320
San Antonio, TX 78232
Phone
(210) 495-6255
Organisation at this address
Modern Dental Professionals San Antonio Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas