Individual
DR. TYLER JAMES MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2571 CAMPUS DR, KLAMATH FALLS, OR 97601-1102
(541) 363-5419
(541) 363-5420
Mailing address
2571 CAMPUS DR, KLAMATH FALLS, OR 97601-1102
(541) 363-5419
(541) 363-5420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11129
OR
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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