Individual
LILY DALCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 CHURCH LN, WAYNE, NJ 07470-3323
(973) 874-3790
Mailing address
202 CHURCH LN, WAYNE, NJ 07470-3323
(973) 874-3790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03036700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2023
Last updated
07/11/2024
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