Individual
DR. BRIAN E LILJAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
421 W PIONEER, PUYALLUP, WA 98371-5367
(253) 845-4255
Mailing address
421 W PIONEER, PUYALLUP, WA 98371-5367
(253) 845-4255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6131
WA
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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