Tyler Penney

NPI #1710620299 in Camp Pendleton, California

Provider Information

NPI Number: 1710620299
Entity Type: Individual
Name: Tyler Penney
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Apr 14, 2022
Last Updated: Apr 14, 2022

Practice Location

Address: 1ST DNBN ATTN: CREDENTIALS
City: Camp Pendleton
State: California
ZIP Code: 92055-5221
Phone: (803) 920-9156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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