Individual
DR. TYLER MICHAEL AHOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4620 HAMPTON AVE, SAINT LOUIS, MO 63109-2714
(314) 752-7468
(314) 752-5168
Mailing address
4620 HAMPTON AVE, SAINT LOUIS, MO 63109-2714
(314) 752-7468
(314) 752-5168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2012015662
MO
Other
Enumeration date
05/24/2012
Last updated
04/17/2023
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