John Thomas Lilley JR. DMD

NPI 1609907096 - Dentist - 1223G0001X

NPI Details
NPI 1609907096
Gender Male
Enumeration Date 03/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1230 HAWORTH ST
PHILADELPHIA PA, 19124-2508, US
Phone (215) 535-2601
Fax (215) 289-7882
Business Location
1230 HAWORTH ST
PO BOX 9568
PHILADELPHIA PA, 19124-2508, US
Phone (215) 535-2601
Fax (215) 289-7882
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS017800L
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According to our database, Dr. John Thomas Lilley JR. DMD NPI is 1609907096, taxonomy code is 1223G0001X and license number is DS017800L, license state is located at Pennsylvania. John Thomas Lilley JR. DMD physically located at 1230 Haworth St, Philadelphia PA, 19124-2508. NPI Number John Thomas Lilley JR. DMD has the Individual type.

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1609907096 NPI number is provided on an as is basis without warranty of any kind. 1609907096 is maintained by the National Plan & Provider Enumeration System. The contents of John Thomas Lilley JR. DMD are for informational purposes only.