Individual
DR. DESIREE TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3756 SANTA ROSALIA DR, SUITE 204, LOS ANGELES, CA 90008-3606
(323) 293-7225
Mailing address
3756 SANTA ROSALIA DR, SUITE 204, LOS ANGELES, CA 90008-3606
(323) 293-7225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30655
CA
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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