Thomas J. Triller, DDS
NPI #1295821759 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1295821759
- Entity Type
- Individual
- Name
- Thomas J. Triller, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 140 FRONT STREET
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-2194
- Phone
- (920) 887-7204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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