Tyler Haradon
Tyler Haradon is a Periodontics in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2021.
- Licensed in
- CO
- In the registry since
- 2021
Practice location Address checks out
685 Citadel Dr E Ste 200AColorado Springs, CO 80909-5315
Phone: (719) 574-4867
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Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 204636 (CO) |
|---|
Record details
| NPI number | 1972173706 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 24, 2021 |
| Last updated in NPPES | June 24, 2021 |
| Certification date | June 24, 2021 |
| Mailing address | 685 Citadel Dr E Ste 200a, Colorado Springs, CO 80909-5315 |
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