Jason William Tynkila DMD

NPI 1023013356 - Dentist - 1223G0001X

NPI Details
NPI 1023013356
Gender Male
Enumeration Date 06/14/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
1100 SOUTHGATE
STE 17
PENDLETON OR, 97801-3971, US
Phone (541) 276-1561
Fax
Business Location
1100 SOUTHGATE
STE 17
PENDLETON OR, 97801-3971, US
Phone (541) 276-1561
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number 7777
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According to our database, Dr. Jason William Tynkila DMD NPI is 1023013356, taxonomy code is 1223G0001X and license number is 7777, license state is located at Oregon. Jason William Tynkila DMD physically located at 1100 Southgate, Pendleton OR, 97801-3971. NPI Number Jason William Tynkila DMD has the Individual type.

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1023013356 NPI number is provided on an as is basis without warranty of any kind. 1023013356 is maintained by the National Plan & Provider Enumeration System. The contents of Jason William Tynkila DMD are for informational purposes only.