Gillis Family Dentistry

NPI #1972992162 in Clinton, Missouri

Provider Information

NPI Number: 1972992162
Entity Type: Organization
Organization Name: Gillis Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 12, 2015
Last Updated: Jan 12, 2015

Practice Location

Address: 2000 N GAINES DR
City: Clinton
State: Missouri
ZIP Code: 64735-1132
Phone: (660) 885-6933

Authorized Official

Name: KRYSTAL GILLIS
Title: DDS
Phone: (660) 995-6933

Specialties & Taxonomy Codes

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

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