Individual
KYLE DENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 S CASWELL ST, LA GRANGE, NC 28551-2005
(252) 566-9616
Mailing address
PO BOX 8, LA GRANGE, NC 28551-0008
(252) 566-9616
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12121
NC
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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