Individual
DR. KEN R TILASHALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1919 SEVENTH AVE S, SDB BOX 58, BIRMINGHAM, AL 35294-0001
(205) 934-2340
(205) 934-7899
Mailing address
1919 SEVENTH AVE S, SDB BOX 58, BIRMINGHAM, AL 35294-0001
(205) 934-2340
(205) 934-7899
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4744
AL
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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