William Mark Lilly, DDS

NPI #1184781718 in Bridgeport, West Virginia

Provider Information

NPI Number: 1184781718
Entity Type: Individual
Name: William Mark Lilly, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 339 EAST MAIN ST
City: Bridgeport
State: West Virginia
ZIP Code: 26330
Phone: (304) 842-5588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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