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1003115841
TYLER ALAN FORDHAM
YAKIMA, WA
NPI
1003115841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA DE60212723)
Enumeration Date
2011-03-18
Last Update Date
2011-03-18
Business Address
Dr. TYLER ALAN FORDHAM DDS
407 N 63RD AVE
YAKIMA, WA 98908-2707
Phone number: 509-823-1087
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Mailing Address
Dr. TYLER ALAN FORDHAM DDS
407 N 63RD AVE
YAKIMA, WA 98908-2707
Phone number:
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