Provider Demographics
NPI:1346095676
Name:GYALPO, TENZIN KUNKHEN (DMD)
Entity Type:Individual
Prefix:
First Name:TENZIN
Middle Name:KUNKHEN
Last Name:GYALPO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 DICKINSON RD
Mailing Address - Street 2:
Mailing Address - City:DE PERE
Mailing Address - State:WI
Mailing Address - Zip Code:54115-9213
Mailing Address - Country:US
Mailing Address - Phone:920-600-8446
Mailing Address - Fax:
Practice Address - Street 1:1926 DICKINSON RD
Practice Address - Street 2:
Practice Address - City:DE PERE
Practice Address - State:WI
Practice Address - Zip Code:54115-9213
Practice Address - Country:US
Practice Address - Phone:920-600-8446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-19
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program