Individual
DR. TYLER CARTY HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
INTERSECTION OF RT 7 AND RT 12, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 1657, FORT DEFIANCE, AZ 86504-1657
(805) 550-2800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2906
NM
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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