Dr. Kyle Wayne Hellstrom, DDS
Dentist, General Practice in Sacramento, CA. Individual provider (NPI-1).
NPI number1669957809
StatusActive
Last updated in NPPESOct 2, 2018
Details
- NPI
- 1669957809
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kyle Wayne Hellstrom
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2018
- Last updated
- Oct 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 103135 | CA | Yes |
Practice location
2025 28th St Apt 218Sacramento, CA 95818-1925
Phone 504-610-1070
Mailing address
2025 28th St Apt 218Sacramento, CA 95818-1925
Phone 504-610-1070
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