Individual
MR. KYLE LALANNE MCINTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PROPHY TECH
Contact information
Practice address
2310 CRAVEN ST UNIT 3230, SAN DIEGO, CA 92136-5311
(513) 604-7471
Mailing address
3715 NORMAN SCOTT RD # B1808AR, SAN DIEGO, CA 92136-5311
(513) 604-7471
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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