Individual
DR. TYLER DALE HANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MPH
Contact information
Practice address
2435 E 3300 S, SUITE 101, MILLCREEK, UT 84109
(801) 410-0165
Mailing address
2435 E 3300 S, SUITE 101, MILLCREEK, UT 84109
(801) 410-0165
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11651266-9923
UT
1223P0221X
Pediatric Dentistry
D11034
OR
Other
Enumeration date
05/23/2017
Last updated
10/16/2020
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