Individual
DUSTIN TYLER NYGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
BLDG, 390 N LOOP RD, FORT IRWIN, CA 92310
(760) 380-3166
Mailing address
171 INNER LOOP RD, FORT IRWIN, CA 92310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34564
TX
Other
Enumeration date
08/24/2018
Last updated
08/13/2024
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