HYRUM KENNETH MITCHELL

BARKSDALE AFB, LA
NPI1912531781
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  11767177-9922)
Enumeration Date2020-03-02
Last Update Date2023-09-25
Business Address
HYRUM KENNETH MITCHELL DMD
1067 TWINING DR
BARKSDALE AFB, LA 71110-2486
Phone number: 318-456-6718
Mailing Address
HYRUM KENNETH MITCHELL DMD
5855 E STILL CIR
MESA, AZ 85206-3631
Phone number: 480-248-8100