Individual
KAYLA RENEE EGGENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4250 S CLEAR CREEK RD, #213, FORT HOOD, TX 76544
(254) 285-2014
Mailing address
606 STATE SCHOOL RD, GATESVILLE, TX 76528-2927
(719) 640-2786
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
21540
TX
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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