SearchWashingtonGeneral Practice Dentistry

Tyler Douma

NPI 1548628175 · on the registry since 2016 · sole proprietor

Practice

Address
9019 E Mission Ave
Spokane Valley Office
Spokane, WA 99212
Phone
(855) 433-6825

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington