Individual
DR. LILLY ANNA POOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
421 W 104TH AVE STE 201, NORTHGLENN, CO 80234-4138
(303) 872-5970
Mailing address
11226 UPTOWN AVE, BROOMFIELD, CO 80021-4247
(812) 322-2955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205791
CO
1223G0001X
General Practice Dentistry
D011155
AZ
Other
Enumeration date
07/29/2021
Last updated
05/07/2024
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