Andrew Trevor Tillman, DMD Valid NPI
Individual provider · Dentist · Eugene, OR
- NPI
- 1285043166
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D10075 (OR)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2014-08-05
- Last updated
- 2014-08-05
Practice location
86479 N Modesto Dr
Eugene, OR 97402-9008
(541) 729-9440