Individual
TYLER PENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1ST DNBN ATTN: CREDENTIALS, CAMP PENDLETON, CA 92055-5221
(803) 920-9156
Mailing address
1ST DNBN ATTN: CREDENTIALS, BOX 555221, CAMP PENDLETON, CA 92055-5221
(803) 920-9156
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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