Individual
DR. TYLER RICHARD OATMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3100 IVANREST AVE SW STE 105, GRANDVILLE, MI 49418-2955
(616) 538-3060
Mailing address
8585 HILLERY CT SE, CALEDONIA, MI 49316-8800
(616) 485-9934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022815
MI
Other
Enumeration date
03/19/2019
Last updated
09/12/2019
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