Individual
DR. TYLER MEADOWS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 OAK ST STE D, WEST BEND, WI 53095-3800
(262) 310-1860
(262) 310-1861
Mailing address
N161W20685 KAMI LN, JACKSON, WI 53037-8937
(262) 622-1571
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001705-15
WI
Other
Enumeration date
10/31/2017
Last updated
03/18/2024
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