Individual
MRS. TANA LILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
839 W CONGRESS ST, DENTAL DEPARTMENT, TUCSON, AZ 85745-2819
(520) 670-3758
(520) 670-3759
Mailing address
839 W CONGRESS ST, DENTAL DEPARTMENT, TUCSON, AZ 85745-2819
(520) 670-3758
(520) 670-3759
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4165
AZ
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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