Individual
TYLER GEYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 282-3289
Mailing address
1301 HAWTHORNE ST, ALEXANDRIA, MN 56308-2555
(320) 762-0279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13374
MN
Other
Enumeration date
06/18/2014
Last updated
07/06/2015
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