DR. Tyler Boyd Black, DMD

NPI #1063257053 in Provo, Utah

Provider Information

NPI Number: 1063257053
Entity Type: Individual
Name: DR. Tyler Boyd Black, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 1, 2024
Last Updated: Jul 1, 2024

Practice Location

Address: 835 N 700 E STE 2
City: Provo
State: Utah
ZIP Code: 84606-6994
Phone: (801) 373-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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