Individual
DR. LARRY TILLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
125 INVERNESS DR E, SUITE 350, ENGLEWOOD, CO 80112-5137
(303) 723-0446
Mailing address
125 INVERNESS DR E, SUITE 350, ENGLEWOOD, CO 80112-5137
(303) 723-0446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104937
CO
Other
Enumeration date
08/24/2006
Last updated
09/06/2007
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