Provider Demographics
NPI:1770657934
Name:KAWALSKY, CHERYL ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:ANN
Last Name:KAWALSKY
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 1:6116 OAKCREST RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-3853
Mailing Address - Country:US
Mailing Address - Phone:972-385-2284
Mailing Address - Fax:
Practice Address - Street 1:16000 PRESTON RD
Practice Address - Street 2:SUITE 310
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-3564
Practice Address - Country:US
Practice Address - Phone:972-386-6460
Practice Address - Fax:972-991-6263
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20121122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist