Individual
DR. TYLER YI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8942 BURKE LAKE RD, SPRINGFIELD, VA 22151-1004
(571) 407-5981
(571) 407-7238
Mailing address
11868 SUNRISE VALLEY DR, 100, RESTON, VA 20191-3318
(703) 860-6700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414499
VA
Other
Enumeration date
02/19/2009
Last updated
08/20/2020
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