DR. Michael David Tillman, DDS

NPI #1316148471 in Ft Worth, Texas

Provider Information

NPI Number
1316148471
Entity Type
Individual
Name
DR. Michael David Tillman, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
May 29, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
747 8TH AVE STE C
State
Texas
ZIP Code
76104-2503
Phone
(817) 332-9303

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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