Organization
W. TYLER MISTR, DDS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILSON TYLER MISTR DDS (OWNER)
(540) 545-4600
Entity
Organization
Contact information
Practice address
1817 W PLAZA DR, WINCHESTER, VA 22601-6365
(540) 545-4600
(540) 545-3800
Mailing address
1817 W PLAZA DR, WINCHESTER, VA 22601-6365
(540) 545-4600
(540) 545-3800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401008618
VA
1223G0001X
General Practice Dentistry
Primary
0401008715
VA
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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