| John Tillner Dental Corporation | |
|
752 Medical Center Ct Ste 205 Chula Vista CA 91911-6658 | |
| (619) 482-6774 | |
| (619) 482-7637 |
| Full Name | John Tillner Dental Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 752 Medical Center Ct, Chula Vista, California |
| Authorized Official Name and Position | John Emery Tillner (DOCTOR/PRESIDENT) |
| Authorized Official Contact | 6194826774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Tillner Dental Corporation 752 Medical Center Ct Ste 205 Chula Vista CA 91911-6658 Ph: (619) 482-6774 | John Tillner Dental Corporation 752 Medical Center Ct Ste 205 Chula Vista CA 91911-6658 Ph: (619) 482-6774 |
| NPI Number | 1730485657 |
|---|---|
| Provider Enumeration Date | 02/10/2011 |
| Last Update Date | 02/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730485657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 52944 (California) | Primary |
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