Tyka L Brannan, PTDA ASSISTANT
NPI #1760595193 in Vancouver, Washington
Provider Information
- NPI Number
- 1760595193
- Entity Type
- Individual
- Name
- Tyka L Brannan, PTDA ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Assistant
- Credential
- PTDA ASSISTANT
- Enumeration Date
- Aug 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 14406 NE 20TH AVE
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98686-1448
- Phone
- (360) 571-3139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
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