Individual
DR. TYLER LOGAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17725 WELCH PLZ STE B, OMAHA, NE 68135-1404
(402) 932-9349
Mailing address
17725 WELCH PLZ STE B, OMAHA, NE 68135-1404
(402) 932-9349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6822
NE
Other
Enumeration date
06/16/2009
Last updated
05/15/2020
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