Individual
DR. LILLIAN AZZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2633 W HORIZON RIDGE PKWY STE 130, HENDERSON, NV 89052-4833
(702) 897-7001
Mailing address
2233 MIDVALE TER, HENDERSON, NV 89074-5345
(702) 439-0961
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7667
NV
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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