Individual
BRANDON JOHN TILTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
518 N BEAVER ST, SUITE A, FLAGSTAFF, AZ 86001-3020
(928) 774-4705
(928) 213-9665
Mailing address
3505 W LEAD ROPE, FLAGSTAFF, AZ 86001-2302
(928) 637-5354
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7686
AZ
Other
Enumeration date
09/20/2007
Last updated
03/26/2012
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