Mayerle & Tydeman, LLC
NPI #1104173244 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1104173244
- Entity Type
- Organization
- Organization Name
- Mayerle & Tydeman, LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 8, 2012
- Last Updated
- Aug 8, 2012
Practice Location
- Address
- 14800 KRUSE OAKS BLVD STE A
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-8671
- Phone
- (503) 684-2944
Authorized Official
- Name
- DR. IAN STUART TYDEMAN, DMD
- Title
- DENTIST
- Phone
- (503) 577-3168
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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