Individual
DR. TYLER BOONE SCHAFFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
207 SW 1ST ST, ENTERPRISE, OR 97828-1203
(541) 426-3783
Mailing address
207 SW 1ST ST, ENTERPRISE, OR 97828-1203
(541) 426-3783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10038
OR
Other
Enumeration date
08/02/2013
Last updated
08/23/2021
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