Wilson, Tyler M.
Wilson, Tyler M. is an sole proprietor health care provider with primary practice located at 2151 S College Dr Ste 104 , Santa Maria CA 93455-1304. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wilson, Tyler M. can be contacted via phone (805) 925-1440.Contact Information
Primary practice address
2151 S College Dr Ste 104
Santa Maria CA 93455-1304
Phone: (805) 925-1440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 53295 | California |
Profile Details
| NPI number | 1578736013 |
|---|---|
| LBN Legal business name | Wilson, Tyler M. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2008 |
| Last updated | Jul 16th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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