Individual
DR. CLAIRE KITTAKA LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
899 RENO DR, WAYLAND, MI 49348-1732
(269) 509-4155
Mailing address
201 FULTON ST W APT 1416, GRAND RAPIDS, MI 49503-2678
(317) 697-7702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600222
MI
Other
Enumeration date
07/08/2019
Last updated
11/29/2021
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