Charles E Tilson, DMD

NPI #1619966314 in Albuquerque, New Mexico

Provider Information

NPI Number: 1619966314
Entity Type: Individual
Name: Charles E Tilson, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Oct 17, 2005
Last Updated: Nov 2, 2010

Practice Location

Address: 7007 WYOMING BLVD NE
Address 2: STE A4
City: Albuquerque
State: New Mexico
ZIP Code: 87109-3987
Phone: (505) 821-1433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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