Individual
DR. TYLER A. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
325 W MAIN ST STE G, RIVERTON, WY 82501-3448
(307) 856-5210
Mailing address
325 W MAIN ST STE G, RIVERTON, WY 82501-3448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1549
WY
Other
Enumeration date
05/23/2020
Last updated
05/23/2020
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