Individual
DR. DONALD TYLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG WILFORD, JBSA LACKLAND, TX 78236-5638
(210) 916-1843
(210) 916-3235
Mailing address
3551 ROGER BROOKE DR DEPT OF, FORT SAM HOUSTON, TX 78234-4504
(210) 916-1843
(210) 916-3235
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
047716
NY
Other
Enumeration date
05/10/2006
Last updated
04/13/2021
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