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Individual

DR. TYLER E NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
950 BOARDWALK STE 100, SAN MARCOS, CA 92078-2600
(760) 644-5494
Mailing address
950 BOARDWALK STE 100, SAN MARCOS, CA 92078-2600
(760) 644-5494

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
104604
CA

Other

Enumeration date
09/15/2010
Last updated
07/01/2022
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