DR. Tyler Alan Fordham, DDS

NPI #1003115841 in Yakima, Washington

Provider Information

NPI Number
1003115841
Entity Type
Individual
Name
DR. Tyler Alan Fordham, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Mar 18, 2011
Last Updated
Mar 18, 2011

Practice Location

Address
407 N 63RD AVE
City
Yakima
ZIP Code
98908-2707
Phone
(509) 823-1087

Specialties & Taxonomy Codes

Specialty
Dentist

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