Individual
DR. TYLER ANTHONY LOUIS MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4641 FRONTIER PLAZA DR., WASILLA, AK 99654
(907) 373-2227
Mailing address
4641 E FRONTIER PLAZA DR, WASILLA, AK 99654-6044
(907) 373-2227
(888) 357-2588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD2802
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1676111
—
AK
Enumeration date
08/29/2006
Last updated
11/08/2022
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