Individual
DR. TYLER JOHN BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2537 N MAPLE, MESA, AZ 85215-1723
(903) 597-3940
Mailing address
7750 E MCDOWELL RD STE 107, SCOTTSDALE, AZ 85257-3758
(480) 309-2150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35328
TX
Other
Enumeration date
07/01/2019
Last updated
11/21/2019
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