Individual
MR. JAMES DAVID LILLY JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7834 FOREST HILL AVE, RICHMOND, VA 23225-8651
(804) 320-0773
(804) 320-0773
Mailing address
PO BOX 13651, 7834 FOREST HILL AVE, RICHMOND, VA 23225-8651
(804) 320-0773
(804) 320-0773
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401004665
VA
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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