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Individual
DR. JOHN C GILMORE JR.
Active
Individual
DR. JOHN C GILMORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
15660
FL
1223G0001X
General Practice Dentistry
Primary
6371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
789977
UNITED CONCORDIA PROVIDER
—
Enumeration date
06/28/2006
Last updated
06/16/2008
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