Tyler Delaurentis
Tyler Delaurentis is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
20 W 5th St Apt 6DBoston, MA 02127-3351
Phone: (203) 909-1892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DN10000308 (MA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1013617323 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2023 |
| Last updated in NPPES | November 12, 2024 |
| Certification date | November 12, 2024 |
| Mailing address | 20 W 5th St Apt 6d, Boston, MA 02127-3351 |
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