Tyler Family Dental Pllc | |
197 N Tyler St Tyler MN 56178-1160 | |
(507) 247-5591 | |
Not Available |
Full Name | Tyler Family Dental Pllc |
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Speciality | Clinic/center |
Location | 197 N Tyler St, Tyler, Minnesota |
Authorized Official Name and Position | Kristal Wilmes (DOCTOR/OWNER) |
Authorized Official Contact | 5073800127 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tyler Family Dental Pllc Po Box 366 Tyler MN 56178-0366 Ph: (507) 247-5591 | Tyler Family Dental Pllc 197 N Tyler St Tyler MN 56178-1160 Ph: (507) 247-5591 |
NPI Number | 1568162733 |
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Provider Enumeration Date | 03/07/2023 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568162733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Avera Medical Group Tyler Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 240 Willow St, Tyler, MN 56178 Phone: 507-247-5921 Fax: 507-247-5184 |