DR. Jerry A Gwilliam, DDS
NPI #1265658751 in Walnut Creek, California
Provider Information
- NPI Number
- 1265658751
- Entity Type
- Individual
- Name
- DR. Jerry A Gwilliam, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1874 BONANZA ST
- City
- Walnut Creek
- State
- California
- ZIP Code
- 94596-4318
- Phone
- (925) 935-6080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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