Individual
TYLER DEANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-8200
(303) 602-4560
Mailing address
301 W 6TH AVE, DENVER, CO 80204-5182
(630) 687-0114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204069
CO
Other
Enumeration date
04/02/2018
Last updated
12/11/2024
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