Individual
DR. RICHARD THILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18102 IRVINE BLVD STE 101, TUSTIN, CA 92780-3423
(714) 838-9120
Mailing address
18102 IRVINE BLVD STE 101, TUSTIN, CA 92780-3423
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22460
CA
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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