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Individual
DR. TYLER DALE HANKS
Active
Individual
DR. TYLER DALE HANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MPH
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11651266-9923
UT
1223P0221X
Pediatric Dentistry
D11034
OR
Other
Enumeration date
05/23/2017
Last updated
10/16/2020
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