Individual
DR. TYLER D WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
118 NE JACKSON ST, GRANTS PASS, OR 97526
(541) 476-4511
(541) 479-9006
Mailing address
118 NE JACKSON ST, GRANTS PASS, OR 97526
(541) 476-4511
(541) 479-9006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6311
OR
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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