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1215046909
BRIAN LEE CILLA
GRANDVILLE, MI
NPI
1215046909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: MI 290104700)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
-- BRIAN LEE CILLA DDS MS
3145 PRAIRIE ST SW SUITE 104
GRANDVILLE, MI 49418-2098
Phone number: 616-531-1920
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Mailing Address
-- BRIAN LEE CILLA DDS MS
3145 PRAIRIE ST SW SUITE 104
GRANDVILLE, MI 49418-2098
Phone number: 616-531-1920
Copy
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