Individual
DR. KRYSTA LEIGH LILLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
516 E MAIN ST, ST CHARLES, IL 60174-2133
(630) 377-3131
(630) 377-3204
Mailing address
516 E MAIN ST, ST CHARLES, IL 60174-2133
(630) 377-3131
(630) 377-3204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028955
IL
Other
Enumeration date
05/30/2011
Last updated
08/01/2012
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