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1306327796
DUSTIN TYLER NYGARD
FORT IRWIN, CA
NPI
1306327796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 34564)
Enumeration Date
2018-08-24
Last Update Date
2024-08-13
Business Address
DUSTIN TYLER NYGARD DMD
BLDG, 390 N LOOP RD
FORT IRWIN, CA 92310
Phone number: 760-380-3166
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Mailing Address
DUSTIN TYLER NYGARD DMD
171 INNER LOOP RD
FORT IRWIN, CA 92310
Phone number:
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