Organization
JOHN TILLNER DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EMERY TILLNER DDS (DOCTOR/PRESIDENT)
(619) 482-6774
Entity
Organization
Contact information
Practice address
752 MEDICAL CENTER CT, STE 205, CHULA VISTA, CA 91911-6658
(619) 482-6774
(619) 482-7637
Mailing address
752 MEDICAL CENTER CT, STE 205, CHULA VISTA, CA 91911-6658
(619) 482-6774
(619) 482-7637
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
52944
CA
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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