Tyler M Aholt DDS LLC

NPI #1952775793 in Saint Louis, Missouri

Provider Information

NPI Number: 1952775793
Entity Type: Organization
Organization Name: Tyler M Aholt DDS LLC
Primary Specialty: Dentist
Enumeration Date: Nov 17, 2015
Last Updated: Nov 17, 2015

Practice Location

Address: 6451 CHIPPEWA ST
City: Saint Louis
State: Missouri
ZIP Code: 63109-2104
Phone: (314) 752-7468

Authorized Official

Name: DR. TYLER M AHOLT, DDS
Title: OWNER
Phone: (314) 752-7468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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