Individual
DR. CAMERON TYLER CASENHISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1591 GRIFFIN ROAD, 23RD DENTAL COMPANY, TWENTYNINE PALMS, CA 92278
(760) 830-2117
Mailing address
1591 GRIFFIN ROAD, 23RD DENTAL COMPANY, TWENTYNINE PALMS, CA 92278
(760) 830-2117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14224382-9926
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/29/2025
Last updated
07/11/2025
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