Search › Washington › 122300000X
Tyler Fordham, DDS
NPI 1003115841 · on the registry since 2011 · sole proprietor
Practice
- Address
- 407 N 63rd Ave
Yakima, WA 98908 - Phone
- (509) 823-1087
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington