Tyler Fordham DDS Pllc
NPI #1508126491 in Port Townsend, Washington
Provider Information
- NPI Number
- 1508126491
- Entity Type
- Organization
- Organization Name
- Tyler Fordham DDS Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 24, 2012
- Last Updated
- May 24, 2012
Practice Location
- Address
- 1233 W SIMS WAY
- City
- Port Townsend
- State
- Washington
- ZIP Code
- 98368-3057
- Phone
- (360) 349-4001
Authorized Official
- Name
- DR. TYLER ALAN FORDHAM, DDS
- Title
- OWNER
- Phone
- (360) 349-4001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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