Organization
INNOVATIVE ENDODONTIC SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA REBECCA TYLER DDS (ENDODONTIST)
(206) 930-8789
Entity
Organization
Contact information
Practice address
26504 NE VALLEY STREET, DUVALL, WA 98019
(425) 788-9575
(425) 788-9577
Mailing address
PO BOX 1180, DUVALL, WA 98019-1180
(425) 788-9575
(425) 788-9577
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE60566900
WA
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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