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
- State
- Washington
- ZIP Code
- 98908-2707
- Phone
- (509) 823-1087
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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