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Individual

DR. CHRISTINA LEE LILLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(717) 448-2871
Mailing address
1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-2803
(717) 448-2871

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS038893
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401417892
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/29/2011
Last updated
12/09/2022
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