# GILLARD DENTAL SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gillard Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376275917
- **Authorized official:** TRENT HUNTER GILLARD DDS (FOUNDER)
- **Authorized official phone:** (909) 965-2254

## Contact information

- **Practice address:** 13575 W INDIAN SCHOOL RD STE 600, LITCHFIELD PARK, AZ 85340-4925
- **Practice address phone:** (909) 965-2254
- **Mailing address:** 31040 E SUNSET DR N, REDLANDS, CA 92373-7453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2022
- **Last updated:** 06/30/2022