Individual provider · Type 1 NPI
Brian Lee Cilla, DDS MS
Periodontics · Grandville, MI
NPI number
1215046909
Active
Practice location
3145 Prairie St SW, Suite 104
Grandville, MI 49418-2098
Fax (616) 531-4275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 290104700 (MI) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Grandville
About NPI 1215046909
Brian Lee Cilla, DDS MS's National Provider Identifier is 1215046909, issued on Aug 29, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Grandville, MI. The record was last updated on Jul 8, 2007.