Individual
DR. TYLER BRANTLEY RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8024 AUGUSTA RD UNIT G, PIEDMONT, SC 29673-6595
(864) 277-9343
Mailing address
602 TROUTDALE LN, SIMPSONVILLE, SC 29680-6465
(864) 704-7455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9461
SC
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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