DR. Jonathan F Lillard SR., DDS

NPI #1053632562 in Arlington, Virginia

Provider Information

NPI Number: 1053632562
Entity Type: Individual
Name: DR. Jonathan F Lillard SR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 18, 2010
Last Updated: Jun 18, 2010

Practice Location

Address: 2250 CLARENDON BLVD
Address 2: STORE F
City: Arlington
State: Virginia
ZIP Code: 22201
Phone: (703) 841-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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