Organization
PAMELA M LILLY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA M LILLY DDS (PRESIDENT OF CORPORATION)
(406) 862-8180
Entity
Organization
Contact information
Practice address
905 WISCONSIN AVENUE, SUITE C, WHITEFISH, MT 59937
(406) 862-8180
(406) 862-8186
Mailing address
905 WISCONSIN AVENUE, SUITE C, WHITEFISH, MT 59937
(406) 862-8180
(406) 862-8186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1900
MT
Other
Enumeration date
10/21/2006
Last updated
08/22/2020
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