Individual
DR. ANDREW TREVOR TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
86479 N MODESTO DR, EUGENE, OR 97402-9008
(541) 729-9440
Mailing address
497 OAKWAY RD STE 200, EUGENE, OR 97401-5603
(541) 484-1955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10075
OR
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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