Individual
TALLEY KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
108 BURTON ST, SPARTANBURG, SC 29301-5400
(864) 576-7169
Mailing address
845 E HEARTSTRONG ST, SUPERIOR, CO 80027-8006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.11150
SC
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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