Individual
WILLIAM MARK LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
339 EAST MAIN ST, BRIDGEPORT, WV 26330
(304) 842-5588
(304) 842-7707
Mailing address
339 EAST MAIN ST, BRIDGEPORT, WV 26330
(304) 842-5588
(304) 842-7707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3140
WV
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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