Individual
DR. TYLER E BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1021 S 40TH AVE STE 3, YAKIMA, WA 98908-3880
(509) 966-7350
(509) 972-7950
Mailing address
1021 S 40TH AVE STE #3, YAKIMA, WA 98908
(509) 966-7350
(509) 972-7950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009650
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE00009650
STATE LICENSE NUMBER
WA
Enumeration date
03/06/2007
Last updated
07/08/2007
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