Individual
TYLER TEBAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
718 W YELM AVE, SUITE #3, YELM, WA 98597-8764
(360) 458-5606
Mailing address
718 W YELM AVE, SUITE #3, YELM, WA 98597-8764
(360) 458-5606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60674424
WA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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