Individual
PAMELA M LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
905 WISCONSIN AVE STE C, WHITEFISH, MT 59937-2172
(406) 862-8180
(406) 862-8186
Mailing address
905 WISCONSIN AVE STE C, WHITEFISH, MT 59937-2172
(406) 862-8180
(406) 862-8186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1900
MT
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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