Individual
TYLER SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8901 WISCONSIN AVE, BLDG 17, 3RD FLOOR, ROOM #3009, BETHESDA, MD 20889-0004
(480) 227-3402
Mailing address
8901 WISCONSIN AVE, BLDG 17, 3RD FLOOR, ROOM #3009, BETHESDA, MD 20889-0004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008540
AZ
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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