# DAVID LILLIAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356652358
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 13078680-9925 | UT | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DB-2024-0007 | NM | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DEN.00204284 | CO | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | SWMC 282-X | TX | — |

## Other

- **Enumeration date:** 06/24/2010
- **Last updated:** 01/16/2024