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Individual

TYLER A DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
943 AVENIDA PICO UNIT A, SAN CLEMENTE, CA 92673-3914
(949) 366-9555
Mailing address
3402 CALLE SIN RIVAL, SAN CLEMENTE, CA 92673-3821
(702) 480-4256

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
106384
CA
1223E0200X
Endodontics
2019003577
MO

Other

Enumeration date
06/12/2017
Last updated
07/30/2021
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