Individual
TYLER AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
614 SICKLERVILLE RD, WILLIAMSTOWN, NJ 08094-1217
(856) 728-9494
Mailing address
614 SICKLERVILLE RD, WILLIAMSTOWN, NJ 08094-1217
(185) 672-8949
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI02842000
NJ
Other
Enumeration date
06/14/2021
Last updated
06/28/2021
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