Individual
TERENCE JAY KINYON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1067 TWINING DR, BARKSDALE AFB, LA 71110-2486
(318) 456-6697
Mailing address
101 VANDENBERG AVE, BARKSDALE AFB, LA 71110-2003
(318) 752-8539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5663
KS
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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