Individual
DR. CAROLYN ALICE TYLENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
BLDG 38717 38TH STREET, USA DENTAC, FT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Mailing address
BLDG 38717 38TH STREET, USA DENTAC, FT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08166
MD
1223D0001X
Public Health Dentistry
08166
MD
Other
Enumeration date
02/13/2006
Last updated
11/30/2011
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