Individual
TESSA TILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
BLDG 2441 21ST STREET, US ARMY DENTAL ACTIVITY, FORT CAMPBELL, KY 42223
(270) 798-8977
(270) 956-0266
Mailing address
BLDG 2441 21ST STREET, US ARMY DENTAL ACTIVITY, FORT CAMPBELL, KY 42223
(270) 798-8977
(270) 956-0266
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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