Individual
DAWN O TILTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
518 N BEAVER ST, SUITE A, FLAGSTAFF, AZ 86001-3020
(928) 774-4705
(928) 213-9665
Mailing address
3505 W LEAD ROPE, FLAGSTAFF, AZ 86001-2302
(928) 525-6200
(928) 213-9665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7618
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410898
—
AZ
Enumeration date
08/01/2008
Last updated
03/22/2012
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