Thomas L Tyree, DDS Valid NPI
Individual provider · General Practice Dentistry · Kenova, WV
- NPI
- 1033288691
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 2421 (WV)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-11-07
- Last updated
- 2007-07-09
Practice location
1702 Oak St
Kenova, WV 25530-1120
(304) 453-6765