Individual
ANKUR KUMAR TYAGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
451 WESTCLIFFE BLVD APT C219, RICHLAND, WA 99352-9323
(205) 734-5758
Mailing address
451 WESTCLIFFE BLVD APT C219, RICHLAND, WA 99352-9323
(205) 734-5758
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61590368
WA
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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