TYRIN DMARQUE JAMES CLAXTON

FORT IRWIN, CA
NPI1063978161
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
Enumeration Date2019-02-13
Last Update Date2019-02-13
Business Address
TYRIN DMARQUE JAMES CLAXTON DA
171 INNER LOOP ROAD
FORT IRWIN, CA 92310
Phone number: 719-526-5537
Mailing Address
TYRIN DMARQUE JAMES CLAXTON DA
1631 WETZEL AVE BLDG 815
FORT CARSON, CO 80913-4095
Phone number: 719-526-5537