DR. Brent Leslie Gilliland, D.D.S.
NPI #1902890676 in Randolph Afb, Texas
Provider Information
- NPI Number
- 1902890676
- Entity Type
- Individual
- Name
- DR. Brent Leslie Gilliland, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Sep 8, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 12TH AEROMEDICAL-DENTAL SQUADRON
- Address 2
- 221 3RD STREET WEST
- City
- Randolph Afb
- State
- Texas
- ZIP Code
- 78150-4801
- Phone
- (210) 652-1846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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