Individual
DR. TYLER JEFFREY SIEGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3801 DODGE ST, OMAHA, NE 68131-3121
(402) 556-9117
Mailing address
3801 DODGE ST, OMAHA, NE 68131-3121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7238
NE
Other
Enumeration date
08/03/2015
Last updated
07/06/2016
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