Individual
DR. TIMOTHY LYNN LILLARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
690 BARNES BLVD, MCCHORD AFB, WA 98438-1303
(253) 982-5505
(253) 982-3749
Mailing address
17808 87TH AVE E, PUYALLUP, WA 98375-6244
(253) 875-4611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11,105
TX
Other
Enumeration date
10/06/2005
Last updated
07/08/2007
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