Individual
DR. TYLER ALLEN ROLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1950 W KENOSHA ST, BROKEN ARROW, OK 74012-8944
(918) 518-1526
Mailing address
29200 S 4130 RD, CATOOSA, OK 74015-6224
(918) 606-2757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7429
OK
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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