Individual
DR. TYLER MONTY RALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
183 N MAIN ST, CLEARFIELD, UT 84015-2395
(801) 825-1822
Mailing address
183 N MAIN ST, CLEARFIELD, UT 84015-2395
(801) 663-6451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9832750-9922
UT
Other
Enumeration date
06/10/2016
Last updated
07/02/2021
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