Tiara La'shay Wilburn

NPI #1093499246 in Alton, Illinois

Provider Information

NPI Number
1093499246
Entity Type
Individual
Name
Tiara La'shay Wilburn
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Jun 9, 2023
Last Updated
Jun 9, 2023

Practice Location

Address
2800 COLLEGE AVE
City
Alton
ZIP Code
62002-4742
Phone
(618) 474-7000

Specialties & Taxonomy Codes

Specialty
Dentist

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