MRS. Maryellen Tilly, RDH BA

NPI #1134396914 in Clearwater, Florida

Provider Information

NPI Number: 1134396914
Entity Type: Individual
Name: MRS. Maryellen Tilly, RDH BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH BA
Enumeration Date: May 12, 2008
Last Updated: May 12, 2008

Practice Location

Address: 15100 RESCUE WAY
Address 2: DENTAL
City: Clearwater
State: Florida
ZIP Code: 33762-3502
Phone: (727) 535-1437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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