Individual
BRANDON TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2401 W DOLARWAY RD, ELLENSBURG, WA 98926-9309
(509) 925-6553
Mailing address
2401 W DOLARWAY RD, ELLENSBURG, WA 98926-9309
(509) 925-6553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13051
MN
Other
Enumeration date
08/01/2011
Last updated
05/13/2023
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