Individual
DR. CAITLIN MONHEIM TYSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2005 KNIGHT LN, BLDG H ATTN: MEDICAL STAFF SERVICES, NAVY MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212
(760) 725-3213
Mailing address
2005 KNIGHT LN, BLDG H ATTN: MEDICAL STAFF SERVICES, NAVY MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61085
CA
Other
Enumeration date
01/06/2012
Last updated
11/27/2012
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