Individual
DR. TYLER DALE BORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S. , M.S.
Contact information
Practice address
11178 HURON ST STE 100, NORTHGLENN, CO 80234-3115
(303) 457-9617
Mailing address
11178 HURON ST STE 100, NORTHGLENN, CO 80234-3115
(303) 457-9617
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
202449
CO
Other
Enumeration date
06/25/2012
Last updated
04/20/2017
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