Individual
TYLER MILLS ATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
118 TILLEY DR, SUITE 101, SOUTH BURLINGTON, VT 05403-4450
(802) 863-3950
Mailing address
118 TILLEY DR, SUITE 101, SOUTH BURLINGTON, VT 05403-4450
(802) 863-3950
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
016.0112532
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004011136
—
CT
Enumeration date
06/27/2014
Last updated
04/24/2018
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