Individual
DR. JAMES E LILLENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11428 TESSON FERRY RD, SAINT LOUIS, MO 63123-6925
(314) 846-6029
(314) 824-0259
Mailing address
11428 TESSON FERRY RD, SAINT LOUIS, MO 63123-6925
(314) 846-6029
(314) 824-0259
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012959
MO
Other
Enumeration date
12/12/2006
Last updated
09/28/2016
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