Individual
DR. TYLER A BARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
203 E BROADWAY ST. # 125, BOLIVER, MO 65613
(417) 328-6334
Mailing address
203 E BROADWAY ST. PO BOX 125, BOLIVER, MO 65613
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2021019571
MO
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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