Provider Demographics
NPI:1649369950
Name:VOGES, KIMBERLY SUZANNE (DDS)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:SUZANNE
Last Name:VOGES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10350 BANDERA RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-5615
Mailing Address - Country:US
Mailing Address - Phone:210-509-3611
Mailing Address - Fax:210-682-7738
Practice Address - Street 1:10350 BANDERA RD
Practice Address - Street 2:SUITE 110
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-5615
Practice Address - Country:US
Practice Address - Phone:210-509-3611
Practice Address - Fax:210-682-7738
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX188051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice