| Tyler Nelson, Dds, Corp. | |
|
950 Boardwalk Ste 100 San Marcos CA 92078-2600 | |
| (760) 644-5494 | |
| Not Available |
| Full Name | Tyler Nelson, Dds, Corp. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 950 Boardwalk Ste 100, San Marcos, California |
| Authorized Official Name and Position | Tyler Nelson (OWNER) |
| Authorized Official Contact | 7197220540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Nelson, Dds, Corp. 950 Boardwalk Ste 100 San Marcos CA 92078-2600 Ph: (760) 644-5494 | Tyler Nelson, Dds, Corp. 950 Boardwalk Ste 100 San Marcos CA 92078-2600 Ph: (760) 644-5494 |
| NPI Number | 1134730914 |
|---|---|
| Provider Enumeration Date | 08/13/2020 |
| Last Update Date | 07/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134730914 | NPI | - | NPPES |
| 1790093599 | Other | GUARDIAN, DELTA DENTAL, UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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