DR. Tyson J Roethlisberger, D.D.S.

NPI #1487632949 in Monroe, Michigan

Provider Information

NPI Number
1487632949
Entity Type
Individual
Name
DR. Tyson J Roethlisberger, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jan 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
721 N MACOMB ST
Address 2
SUITE 3
City
Monroe
ZIP Code
48162-2982
Phone
(734) 241-6710

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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