TYLER WHITEHEAD

GALLUP, NM
NPI1881090736
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NM  DD4145)
Enumeration Date2014-11-05
Last Update Date2014-11-05
Business Address
Dr. TYLER WHITEHEAD DDS
1601 S SECOND ST
GALLUP, NM 87301-5816
Phone number: 505-722-4422
Mailing Address
Dr. TYLER WHITEHEAD DDS
1601 S SECOND ST
GALLUP, NM 87301-5816
Phone number: 505-722-4422