Individual
DR. KAYLA TILLMAN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
800 M-139, BENTON HARBOR, MI 49022
(800) 869-6900
(269) 427-5180
Mailing address
800 M 139, BENTON HARBOR, MI 49022-3881
(855) 869-6900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901600740
MI
1223P0221X
Pediatric Dentistry
Primary
2901600740
MI
Other
Enumeration date
03/24/2021
Last updated
02/10/2025
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