Individual
DR. THOMAS SCOTT LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25401-9990
(304) 263-0811
Mailing address
41 RIDGEVIEW DR, BERKELEY SPRINGS, WV 25411-5161
(304) 676-9220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13845
MD
1223G0001X
General Practice Dentistry
Primary
2380
WV
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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