Individual
DR. KENNETH DALE TYLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
9097 E DESERT COVE AVE, SCOTTSDALE, AZ 85260-6277
(480) 860-1474
Mailing address
PO BOX 14123, SCOTTSDALE, AZ 85267-4123
(480) 860-1474
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4456
AZ
Other
Enumeration date
08/17/2005
Last updated
07/08/2007
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