Individual
DR. MICHAEL PAUL LILLMARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8720 BIG BEND BLVD, SUITE A, SAINT LOUIS, MO 63119
(314) 962-0890
(314) 961-6777
Mailing address
8720 BIG BEND BLVD, SUITE A, SAINT LOUIS, MO 63119
(314) 962-0890
(314) 961-6777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014295
MO
1223G0001X
General Practice Dentistry
MO14295
MO
Other
Enumeration date
10/19/2006
Last updated
03/11/2019
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