Brandon John Tilts, DDS

NPI #1073709366 in Flagstaff, Arizona

Provider Information

NPI Number
1073709366
Entity Type
Individual
Name
Brandon John Tilts, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Sep 20, 2007
Last Updated
Mar 26, 2012

Practice Location

Address
518 N BEAVER ST
Address 2
SUITE A
State
Arizona
ZIP Code
86001-3020
Phone
(928) 774-4705

Specialties & Taxonomy Codes

Specialty
Dentist

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