Whalio Doctors

NPI 1053490961

Dutran Tyler DO, MDDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Los Angeles, CA

Practice location

Address
12401 Wilshire Blvd STE 104, Los Angeles, CA 90025-1015
Phone
(203) 200-7280

Registered specialties (5)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence C139636 (CA)
Dentist
Dental Providers Taxonomy 122300000X Licence 052760 (NY)
Dentist
Dental Providers Taxonomy 122300000X Licence 64626 (CA)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 049194 (CT)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 257471 (NY)

Registry record

NPI
1053490961
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Nov 2006
Record last updated
27 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.