Individual
CHRISTOPHER LILLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
301 N 1ST ST, ALTUS AFB, OK 73523-5004
(580) 481-5262
Mailing address
301 N 1ST ST # 46, ALTUS, OK 73523-5004
(580) 481-5081
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35590
TX
Other
Enumeration date
04/20/2019
Last updated
07/27/2022
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