Individual
DR. TYLER WILLIAM KISLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10930 CRABAPPLE RD, SUITE 106, ROSWELL, GA 30075-5813
(678) 352-1090
Mailing address
10930 CRABAPPLE RD, SUITE 106, ROSWELL, GA 30075-5813
(678) 352-1090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
64864
CA
1223G0001X
General Practice Dentistry
Primary
64864
CA
Other
Enumeration date
07/29/2015
Last updated
09/15/2016
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