Individual
DR. MICHAEL S. TILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1545 BRICE RD, REYNOLDSBURG, OH 43068-2307
(614) 863-4664
(614) 751-1792
Mailing address
1545 BRICE RD, REYNOLDSBURG, OH 43068-2307
(614) 863-4664
(614) 751-1792
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3020344
OH
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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