Individual
DR. ABRAHAM CHARLES LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
308 E MAIN ST, WHITE SULPHUR SPRINGS, WV 24986-2338
(304) 536-1721
(304) 536-1561
Mailing address
308 E MAIN ST, WHITE SULPHUR SPRINGS, WV 24986-2338
(304) 536-1721
(304) 536-1561
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3707
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006682
—
WV
Enumeration date
01/02/2007
Last updated
07/08/2007
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