Provider Demographics
NPI:1659411452
Name:HYER, KRISTIAN E (DDS MS)
Entity Type:Individual
Prefix:
First Name:KRISTIAN
Middle Name:E
Last Name:HYER
Suffix:
Gender:M
Credentials:DDS MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1065 COLORADO AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380
Mailing Address - Country:US
Mailing Address - Phone:209-667-9514
Mailing Address - Fax:209-667-4132
Practice Address - Street 1:1065 COLORADO AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380
Practice Address - Country:US
Practice Address - Phone:209-667-9514
Practice Address - Fax:209-667-4132
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA357331223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics