Dutran Tyler Do is a Dentist in Los Angeles, California. Dutran Tyler Do practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dutran Tyler Do is 1053490961. The last update date is 2022-02-27.
Dutran Tyler Do's current location address is 12401 Wilshire Blvd Ste 104, Los Angeles, California. You can contact this provider via phone number 2032007280. The mailing address for Dutran Tyler Do is 12401 Wilshire Blvd Ste 104, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dutran Tyler Do |
|---|---|
| Address | 12401 Wilshire Blvd Ste 104, Los Angeles, California |
| Phone Number | 2032007280 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD, DMD |
NPI Number Detail
| NPI Number | 1053490961 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2022-02-27 |
Provider Mailing Address Detail
| Address | 12401 Wilshire Blvd Ste 104 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900251015 |
| Phone Number | 2032007280 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 52760 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Dutran Tyler Do by the Centers for Medicare & Medicaid Services?
The Dutran Tyler Do has been issued the NPI (National Provider Identifier) 1053490961 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Dutran Tyler Do?
The Dutran Tyler Do is physically situated at 12401 Wilshire Blvd Ste 104, in the city of Los Angeles, state of CA, with the postal code 900251015.
What is the Dutran Tyler Do's area of specialization and corresponding taxonomy classification?
The Dutran Tyler Do's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date was the 1053490961 assigned to Dutran Tyler Do?
The Dutran Tyler Do was issued its 1053490961 on 2006-11-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Dutran Tyler Do most recently updated or revised?
The details related to Dutran Tyler Do, including its address, specialty, and other relevant information, were last updated or revised on 2022-02-27.