Individual
DR. TERRI SUE TILLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
13065 E 17TH AVE # MSF-849, AURORA, CO 80045-2532
(303) 724-7044
(303) 724-6999
Mailing address
13065 E 17TH AVE # MSF-849, AURORA, CO 80045-2532
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
200936
CO
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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