Most Relevant Information
Provider Data
| NPI Number: | 1003203498 |
| Provider Name: | TYLER JOHN VARHOL DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223S0112X |
| Specialty: | Dentist |
| License Number: | 13529 |
Most Important Dates
| Enumeration Date: | 04/23/2015 |
| Last Updated: | 10/03/2019 |
Provider Practice Location
550 COUNTY ROAD D W STE 12
NEW BRIGHTON
MN
551123517
Practice Location Phone/Fax
| Phone: | 1278892466 |
| Fax: |
Provider Mailing Location
550 COUNTY ROAD D W STE 12
NEW BRIGHTON
MN
551123517
Provider Mailing Phone/Fax
| Phone: | 6127889246 |
| Fax: |