Marko Ilich, DDS
Dentist, General Practice in Palmyra, VA. Individual provider (NPI-1).
NPI number1669166237
StatusActive
Last updated in NPPESJul 21, 2025
Details
- NPI
- 1669166237
- Entity type
- Individual (NPI-1)
- Name
- Marko Ilich
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2023
- Certification date
- Jul 21, 2025
- Last updated
- Jul 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 0401418481 | VA | Yes |
Practice location
32 Garden LnPalmyra, VA 22963-4282
Phone 434-510-7261
Mailing address
32 Garden LnPalmyra, VA 22963-4282
Phone 434-510-7261
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