Tyler J Holley, MD, DDS Valid NPI

Individual provider · Oral & Maxillofacial Surgery (D.M.D.) · Orlando, FL

NPI

1154760411

Type

Individual (Type 1)

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.) (Oral & Maxillofacial Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

204E00000X

License number

ME144719 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2013-06-20

Last updated

2024-01-08