Kenneth Dale Tyler D.D.S., M.S.

NPI 1013909985 - Dentist - 1223E0200X

NPI Details
NPI 1013909985
Gender Male
Enumeration Date 08/17/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
9097 E DESERT COVE AVE
SCOTTSDALE AZ, 85260-6277, US
Phone (480) 860-1474
Fax
Business Location
PO BOX 14123
SCOTTSDALE AZ, 85267-4123, US
Phone (480) 860-1474
Fax
Toxanomy
Taxonomy Code 1223E0200X
License State Arizona
License Number 4456
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According to our database, Dr. Kenneth Dale Tyler D.D.S., M.S. NPI is 1013909985, taxonomy code is 1223E0200X and license number is 4456, license state is located at Arizona. Kenneth Dale Tyler D.D.S., M.S. physically located at 9097 E Desert Cove Ave, Scottsdale AZ, 85260-6277. NPI Number Kenneth Dale Tyler D.D.S., M.S. has the Individual type.

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1013909985 NPI number is provided on an as is basis without warranty of any kind. 1013909985 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Dale Tyler D.D.S., M.S. are for informational purposes only.