Carolyn Alice Tylenda DMD

NPI 1811961493 - Dentist - 1223D0001X

NPI Details
NPI 1811961493
Gender Female
Enumeration Date 02/13/2006
Last Updated 11/30/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
BLDG 38717 38TH STREET
USA DENTAC
FT GORDON GA, 30905-5660, US
Phone (706) 787-6927
Fax (706) 787-2082
Business Location
BLDG 38717 38TH STREET
USA DENTAC
FT GORDON GA, 30905-5660, US
Phone (706) 787-6927
Fax (706) 787-2082
Toxanomy
Taxonomy Code 1223D0001X
License State Maryland
License Number 08166
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According to our database, Dr. Carolyn Alice Tylenda DMD NPI is 1811961493, taxonomy code is 1223D0001X and license number is 08166, license state is located at Maryland. Carolyn Alice Tylenda DMD physically located at Bldg 38717 38th Street, Ft Gordon GA, 30905-5660. NPI Number Carolyn Alice Tylenda DMD has the Individual type.

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1811961493 NPI number is provided on an as is basis without warranty of any kind. 1811961493 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn Alice Tylenda DMD are for informational purposes only.