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Individual
DR. WILLIAM L TYCOLIZ JR.
Active
Individual
DR. WILLIAM L TYCOLIZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN11389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
513635
UNITED CONCORDIA PROVIDER
PA
01
—
67722
BC/BS OF FLORIDA
FL
01
—
995507
COMPBENEFITS PROVIDER
FL
01
—
D101611
CIGNA DENTAL HEALTH PROVI
FL
Enumeration date
06/29/2006
Last updated
07/08/2007
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