Tara Marie Dillow

NPI #1548809379 in Eielson Afb, Alaska

Provider Information

NPI Number
1548809379
Entity Type
Individual
Name
Tara Marie Dillow
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dental Assistant
Enumeration Date
Dec 26, 2019
Last Updated
Dec 26, 2019

Practice Location

Address
354TH MDOS/SGOD
Address 2
2630 CENTRAL AVE STE 1M07
State
Alaska
ZIP Code
99702-2397
Phone
(907) 377-6767

Specialties & Taxonomy Codes

Specialty
Dental Assistant

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