Individual
BERNADETTE TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15835 POMERADO RD, SUITE 102, POWAY, CA 92064-2073
(858) 451-2400
(858) 451-2461
Mailing address
15835 POMERADO RD, SUITE 102, POWAY, CA 92064-2073
(858) 451-2400
(858) 451-2461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39100
CA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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