DR. Chester J Tyson IV, DDS
NPI #1003970534 in Wilmington, North Carolina
Provider Information
- NPI Number
- 1003970534
- Entity Type
- Individual
- Name
- DR. Chester J Tyson IV, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS
- Enumeration Date
- Dec 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2606 IRON GATE DR
- Address 2
- SUITE 200
- City
- Wilmington
- State
- North Carolina
- ZIP Code
- 28412-2573
- Phone
- (910) 791-7380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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