Individual
TYLER TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 GAFFNEY RD, 1055, FORT WAINWRIGHT, AK 99703-5002
(907) 361-7476
Mailing address
1060 GAFFNEY RD, 1055, FORT WAINWRIGHT, AK 99703-5002
(907) 361-7476
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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