Individual
DR. NAILAH R TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-4258
Mailing address
1610 WESTSIDE GARDENS LN, HOUSTON, TX 77055-1920
(305) 542-6971
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1857715
MA
122300000X
Dentist
DN25648
FL
1223P0221X
Pediatric Dentistry
38154
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2017
Last updated
07/05/2022
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