Keone Tyau

NPI #1790154151 in Winslow, Arizona

Provider Information

NPI Number: 1790154151
Entity Type: Individual
Name: Keone Tyau
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Sep 16, 2015
Last Updated: Sep 16, 2015

Practice Location

Address: 500 N INDIANA AVE
City: Winslow
State: Arizona
ZIP Code: 86004
Phone: (928) 289-6116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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