DR. Carolyn Alice Tylenda, DMD

NPI #1811961493 in Ft Gordon, Georgia

Provider Information

NPI Number: 1811961493
Entity Type: Individual
Name: DR. Carolyn Alice Tylenda, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Feb 13, 2006
Last Updated: Nov 30, 2011

Practice Location

Address: BLDG 38717 38TH STREET
Address 2: USA DENTAC
City: Ft Gordon
State: Georgia
ZIP Code: 30905-5660
Phone: (706) 787-6927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - Dental Public Health — Dental Public Health	1223D0001X

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