Individual
DAVID LILLIAN
Active
Individual
DAVID LILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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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