Tyler Deitelbaum, DMD Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Danbury, CT

NPI

1366245896

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

Sex

Male

Sole proprietor

Yes

Enumerated

2025-03-31

Last updated

2025-03-31