DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DUTRAN TYLER DO, MD, DMD

Active Sole Proprietor

DR. DUTRAN TYLER DO, MD, DMD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in LOS ANGELES, California. NPI 1053490961 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · LOS ANGELES, CA

Registration Details

NPI Number
1053490961
Provider Type
Individual
Gender
Male
NPI Issued
Nov 2, 2006 (19.743245623804 yrs)
Last Updated
Feb 27, 2022
Licenses
052760 (NY)
64626 (CA)
049194 (CT)
257471 (NY)
C139636 (CA)
Sole Proprietor
Yes

Practice Information

Address
12401 WILSHIRE BLVD STE 104
LOS ANGELES, CA, 900251015
Browse CA providers · Browse ZIP 90025
Phone
2032007280
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Additional Specialty
Dentist

Other Oral & Maxillofacial Surgery (Physician) Providers in LOS ANGELES, CA

Name Credential NPI
DR. RICK CHIEN CHI TSAY D.M.D, M.D. 1851392062
DR. JOSEPH MCQUIRTER SR. DDS 1619084985
DR. FREDERICK C RUTHERFORD DDS 1346359973
MISS NORA KAHENASA DMD 1407931694
DR. RICHARD D LEATHERS DDS 1588790307
ALAN L. FELSENFELD DDS 1407972433
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.