Individual
DR. TYLER EVAN BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1130 WILKINSON RD, RICHMOND, VA 23227-1623
(276) 701-5864
Mailing address
3120 GROVE AVE, RICHMOND, VA 23221-2810
(276) 701-5864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414000
VA
Other
Enumeration date
05/27/2013
Last updated
05/27/2013
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