Individual
KAYLA DYMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-0123
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-0007028-C1
AL
Other
Enumeration date
06/06/2022
Last updated
07/25/2023
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