Individual
DR. ANTOINETTE LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
190 RIVERWIND DR STE 201, PEARL, MS 39208-3387
(601) 882-5600
Mailing address
551 N FEDERAL HWY STE 900, FORT LAUDERDALE, FL 33301-2559
(954) 358-2722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3807-15
MS
1223G0001X
General Practice Dentistry
Primary
DN29815
FL
Other
Enumeration date
06/16/2015
Last updated
04/01/2025
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