DR. Russell Eric Gilliom, D.D.S.
NPI #1417172321 in Churubusco, Indiana
Provider Information
- NPI Number
- 1417172321
- Entity Type
- Individual
- Name
- DR. Russell Eric Gilliom, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Jan 14, 2008
Practice Location
- Address
- 230 E WHITLEY ST
- City
- Churubusco
- State
- Indiana
- ZIP Code
- 46723-1506
- Phone
- (260) 693-2177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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