Tyra Neal, DMD

NPI #1144602970 in Provo, Utah

Provider Information

NPI Number: 1144602970
Entity Type: Individual
Name: Tyra Neal, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 29, 2015
Last Updated: Jun 29, 2015

Practice Location

Address: 1450 W 820 N
City: Provo
State: Utah
ZIP Code: 84601-1305
Phone: (801) 818-8917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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