DR. Tyler Whitehead, DDS

NPI #1881090736 in Gallup, New Mexico

Provider Information

NPI Number: 1881090736
Entity Type: Individual
Name: DR. Tyler Whitehead, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 5, 2014
Last Updated: Nov 5, 2014

Practice Location

Address: 1601 S SECOND ST
City: Gallup
State: New Mexico
ZIP Code: 87301-5816
Phone: (505) 722-4422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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