Most Relevant Information
Provider Data
| NPI Number: | 1003406752 |
| Provider Name: | KYLE DENTON |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 12121 |
Most Important Dates
| Enumeration Date: | 01/26/2021 |
| Last Updated: | 01/26/2021 |
Provider Practice Location
515 S CASWELL ST
LA GRANGE
NC
285512005
Practice Location Phone/Fax
| Phone: | 2525669616 |
| Fax: |
Provider Mailing Location
PO BOX 8
LA GRANGE
NC
285510008
Provider Mailing Phone/Fax
| Phone: | 2525669616 |
| Fax: |