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1609883396
KENNETH K TYER
CONROE, TX
NPI
1609883396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 6762)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
-- KENNETH K TYER D.D.S.
2121 TIMBERLANE ST STE A
CONROE, TX 77301-1176
Phone number: 936-756-1443
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Mailing Address
-- KENNETH K TYER D.D.S.
2121 TIMBERLANE ST STE A
CONROE, TX 77301-1106
Phone number: 936-756-1443
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