Individual
KRISTIN NYLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
010400
CT
122300000X
Dentist
Primary
50053366
NY
Other
Enumeration date
03/07/2007
Last updated
05/15/2015
Update your record
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