Individual
DR. JONATHAN F LILLARD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2250 CLARENDON BLVD, STORE F, ARLINGTON, VA 22201
(703) 841-0300
Mailing address
2250 CLARENDON BLVD, STORE F, ARLINGTON, VA 22201-3332
(703) 841-0300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4551VA
VA
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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