# KYLE D GILL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477808160
- **Authorized official:** DR. KYLE D GILL DDS (SOLE MEMBER)
- **Authorized official phone:** (206) 355-4360

## Contact information

- **Practice address:** 19853 STATE ROUTE 2, MONROE, WA 98272
- **Practice address phone:** (360) 794-9055
- **Mailing address:** 2594 LAKE WHATCOM BLVD, BELLINGHAM, WA 98229-2721

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60035223 | WA | Yes |

## Other

- **Enumeration date:** 07/18/2012
- **Last updated:** 07/18/2012