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Individual

DR. TYLER REED ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.D.S.

Contact information

Practice address
4741 N BROADWAY ST, SUITE C, KNOXVILLE, TN 37918-1793
(865) 687-9412
Mailing address
4741 N BROADWAY ST, SUITE C, KNOXVILLE, TN 37918-1793
(865) 687-9412

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10455
TN

Other

Enumeration date
03/23/2017
Last updated
04/27/2017
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