Individual
TJ DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7007 OLD SAUK RD, MADISON, WI 53717-2307
(608) 819-8760
Mailing address
7007 OLD SAUK RD, MADISON, WI 53717-2307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001229-15
WI
122300000X
Dentist
DL11594
MA
Other
Enumeration date
04/05/2012
Last updated
01/23/2017
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