DR. Brian Vernon Gilmore, DDS

NPI #1114157583 in Hayden, Idaho

Provider Information

NPI Number: 1114157583
Entity Type: Individual
Name: DR. Brian Vernon Gilmore, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 20, 2009
Last Updated: Nov 9, 2022

Practice Location

Address: 9095 N HESS ST STE 201
City: Hayden
State: Idaho
ZIP Code: 83835-9827
Phone: (208) 772-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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