Individual
JON W TILTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
404 S EDGEMOOR ST, SUITE 320, WICHITA, KS 67218-1631
(316) 684-8440
(316) 686-7218
Mailing address
404 S EDGEMOOR ST, SUITE 320, WICHITA, KS 67218-1631
(316) 684-8440
(316) 686-7218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5152
KS
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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