Organization
LLOYD V. TILT, DDS,MS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD V. TILT DDS,MS (PRESIDENT)
(801) 394-6651
Entity
Organization
Contact information
Practice address
3590 HARRISON BLVD, STE 3, OGDEN, UT 84403-2403
(801) 394-6651
(801) 394-2557
Mailing address
3590 HARRISON BLVD, STE 3, OGDEN, UT 84403-2403
(801) 394-6651
(801) 394-2557
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1377129922
UT
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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