Individual
DAVID LILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
613 25 RD, GRAND JUNCTION, CO 81505-1590
(970) 241-2820
Mailing address
801 N 860 W, AMERICAN FORK, UT 84003-3652
(801) 592-1147
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13078680-9925
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DB-2024-0007
NM
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN.00204284
CO
390200000X
Student in an Organized Health Care Education/Training Program
SWMC 282-X
TX
Other
Enumeration date
06/24/2010
Last updated
01/16/2024
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