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Organization
TYRA LORIZ DMD
Active
Organization
TYRA LORIZ DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA MILLS (BILLING)
(850) 433-3008
Entity
Organization
Contact information
Practice address
3298 SUMMIT BLVD STE 49, PENSACOLA, FL 32503-4350
(850) 433-3008
Mailing address
3298 SUMMIT BLVD STE 49, PENSACOLA, FL 32503-4350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073348200
—
FL
Enumeration date
06/19/2012
Last updated
06/19/2012
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