Individual
DR. ADA S TILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
14205 N MO PAC EXPY, SUITE 100, AUSTIN, TX 78728-6527
(512) 218-1130
(512) 218-4423
Mailing address
2222 HAMLET CIR, ROUND ROCK, TX 78664-6132
(512) 218-1130
(512) 218-4423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17680
TX
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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