DR WESLEY F TILLMANN DMD PC
Dentist at 900, Salt Lake City, UT

License number
Utah 7393738
Category
Dentist
Type
Dentist
Owner
Name: MCLEAN BODDY
Title: OFFICE MANAGER
Phone: (801) 281-8433
Address
Address
5872 S 900 E STE 202, Salt Lake City, UT 84121
National Provider ID: 1205286655
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. WESLEY F. TILLMANN, D.M.D., PC

5872 S 900 E #202, Salt Lake City, UT 84121

Status:
Inactive
Registration:
Jul 20, 2010
State ID:
7736218-0162
Business type:
LLC - Professional
Agent:
Wesley F. Tillmann,5872 S 900 E #202, Salt Lake City, UT 84121 (Physical)

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