Individual
DR. JUSTIN B PILLANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3104 W STATE HIGHWAY 22, CORSICANA, TX 75110-2435
(903) 872-8407
(903) 874-7231
Mailing address
3104 W STATE HIGHWAY 22, CORSICANA, TX 75110-2435
(903) 872-8407
(903) 874-7231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20494
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
751640114
FEDERAL TAX ID #
TX
Enumeration date
09/25/2006
Last updated
06/23/2008
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