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Individual

DR. ASHLEY C TYNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
7901 MALL RD STE 200, FLORENCE, KY 41042-1496
(859) 647-7600
(859) 647-0213
Mailing address
7901 MALL ROAD, SUITE 200, FLORENCE, KY 41042
(859) 647-7600
(859) 647-0213

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8354
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100039560
KY
Enumeration date
12/05/2006
Last updated
05/05/2011
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