TIARA WILBURN

Dentist

Active Individual
NPI: 1093499246

Practice Address

2800 COLLEGE AVE
Alton, IL 62002

Phone: (618) 474-7000

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 019034234 (IL)

Frequently Asked Questions

NPI 1093499246 is the National Provider Identifier for TIARA WILBURN, a Dentist provider located in Alton, IL. This NPI was enumerated on June 9, 2023.
TIARA WILBURN practices at 2800 COLLEGE AVE, Alton, IL 62002.

Quick Facts

NPI
1093499246
Type
Individual
Enumerated
Jun 9, 2023
Last Updated
Jun 9, 2023

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