DR. Jonathan Wade Gillesby, DDS

NPI #1467567057 in Dowagiac, Michigan

Provider Information

NPI Number: 1467567057
Entity Type: Individual
Name: DR. Jonathan Wade Gillesby, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 530 RIVERSIDE DRIVE
City: Dowagiac
State: Michigan
ZIP Code: 49047
Phone: (269) 782-5161

Specialties & Taxonomy Codes

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

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