Individual
TYLER RAY STROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
138 OAKLAND PKWY, LEESBURG, GA 31763-7200
(229) 432-2213
Mailing address
138 OAKLAND PKWY, LEESBURG, GA 31763-7200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122820
GA
Other
Enumeration date
07/26/2022
Last updated
06/20/2023
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