Individual
TYLER J CANALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7632 S CAMPUS VIEW DR, STE 150, WEST JORDAN, UT 84084-5542
(801) 282-4142
Mailing address
7632 S CAMPUS VIEW DR, STE 150, WEST JORDAN, UT 84084-5542
(801) 282-4142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7895033-9921
UT
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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