Individual
DOUGLAS M. TILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17460 IH 35 N STE 120, SCHERTZ, TX 78154-1209
(210) 651-5988
Mailing address
8502 ACROPOLIS DR, UNIVERSAL CITY, TX 78148-2636
(210) 658-1417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10486
TX
Other
Enumeration date
08/06/2006
Last updated
07/08/2007
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