NPI 1063978161

Tyrin Dmarque James Claxton, DA

Practitioner Dental Assistant Fort Irwin, CA

Practice location

Address: 171 Inner Loop Road, Fort Irwin, CA 92310
Phone: (719) 526-5537
Mailing address: 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in California →

Registry record

NPI: 1063978161
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2019
Record last updated: 13 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.