Individual
DR. TYLER MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
304 N CHELAN AVE, WENATCHEE, WA 98801-2107
(509) 663-0068
Mailing address
304 N CHELAN AVE, WENATCHEE, WA 98801-2107
(509) 663-0068
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE60461795
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DE60461795
WA
Other
Enumeration date
03/15/2012
Last updated
02/26/2020
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