Individual
SHARI D TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12121 WILSHIRE BLVD SUITE 1111, LOS ANGELES, CA 90025
(310) 820-9933
Mailing address
727 GARDENIA AVE 6, LONG BEACH, CA 90813
(562) 676-8267
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
83515
CA
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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