Organization
DR WESLEY F TILLMANN DMD PC
Active
Other names
Tillmann Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MCLEAN BODDY (OFFICE MANAGER)
(801) 281-8433
Entity
Organization
Contact information
Practice address
5872 S 900 E STE 202, SALT LAKE CITY, UT 84121-1682
(801) 281-8433
Mailing address
5872 S 900 E STE 202, SALT LAKE CITY, UT 84121-1682
(801) 281-8433
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7393738
UT
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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