Individual
DR. ELWIRA TYRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
41 TAYLOR ST STE 4, SPRINGFIELD, MA 01103-1332
(413) 781-7645
Mailing address
41 TAYLOR ST STE 4, SPRINGFIELD, MA 01103-1332
(413) 781-7645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858873
MA
Other
Enumeration date
06/30/2016
Last updated
11/16/2020
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