Individual
DR. TYLER JAMES PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2250 S RANCHO DR STE 205, LAS VEGAS, NV 89102-4456
(702) 291-2031
Mailing address
1901 FARGO WAY, SPARKS, NV 89434-0725
(775) 750-1576
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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