DR. Tyler S Green, DMD

NPI #1396992178 in Ellensburg, Washington

Provider Information

NPI Number: 1396992178
Entity Type: Individual
Name: DR. Tyler S Green, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 22, 2008
Last Updated: Aug 22, 2008

Practice Location

Address: 2401 W DOLARWAY RD
City: Ellensburg
State: Washington
ZIP Code: 98926-9309
Phone: (509) 925-6553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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