DR. Maxwell L Gilliam, D.D.S.
NPI #1407056153 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1407056153
- Entity Type
- Individual
- Name
- DR. Maxwell L Gilliam, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jul 20, 2007
- Last Updated
- Jul 20, 2007
Practice Location
- Address
- 2 OFFICE PARK DR
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28546-7325
- Phone
- (910) 577-5077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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