NPI 1548809379

Tara Marie Dillow

Practitioner Dental Assistant Eielson Afb, AK

Practice location

Address: 354th Mdos/Sgod 2630 Central Ave STE 1m07, Eielson Afb, AK 99702-2397
Phone: (907) 377-6767

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in Alaska →

Registry record

NPI: 1548809379
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Dec 2019
Record last updated: 26 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.