Kenna Rose Tyree, RDH

NPI #1013474501 in Round Mountain, California

Provider Information

NPI Number: 1013474501
Entity Type: Individual
Name: Kenna Rose Tyree, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Feb 21, 2019
Last Updated: Feb 21, 2019

Practice Location

Address: 29632 HIGHWAY 299 EAST
City: Round Mountain
State: California
ZIP Code: 96084
Phone: (530) 337-6244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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