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Individual

KAELA RENEE TYLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
560 QUILEUTE HEIGHTS, LAPUSH, WA 98331
(360) 374-6984
(360) 374-9049
Mailing address
PO BOX 189, LA PUSH, WA 98350-0189
(360) 374-6984
(360) 374-9049

Taxonomy

Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
25-0004-DHAT
WA

Other

Enumeration date
10/16/2025
Last updated
10/16/2025
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