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Organization
DR BRUCE L TILLERY DDS PA
Active
Organization
DR BRUCE L TILLERY DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE L TILLERY DDS PA (DENTIST OWNER)
(785) 945-6248
Entity
Organization
Contact information
Practice address
800 WALNUT ST, VALLEY FALLS, KS 66088-1238
(785) 945-6248
(785) 945-4097
Mailing address
800 WALNUT ST, VALLEY FALLS, KS 66088-1238
(785) 945-6248
(785) 945-4097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6295
KS
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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