AUSTIN TYLER

OFFUTT AFB, NE
NPI1902416027
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: CO  DEN.00204403)
Additional Taxonomies122300000X Dentist
(Licence: CO  DEN.00204403)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-08-04
Last Update Date2024-07-10
Business Address
AUSTIN TYLER DDS
2501 CAPEHART RD
OFFUTT AFB, NE 68113-1043
Phone number: 210-292-0123
Mailing Address
AUSTIN TYLER DDS
2501 CAPEHART RD
OFFUTT AFB, NE 68113-1043
Phone number: