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Organization
DAVID W. GILLETT D.M.D., INC.
Active
Organization
DAVID W. GILLETT D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W GILLETT (PRESIDENT)
(530) 877-6586
Entity
Organization
Contact information
Practice address
7080 SKYWAY, STE A, PARADISE, CA 95969-3928
(530) 877-6586
(530) 872-0929
Mailing address
7080 SKYWAY STE A, PARADISE, CA 95969-3928
(530) 877-6586
(530) 872-0929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22353
STATE OF CALIFORNIA
CA
Enumeration date
07/13/2007
Last updated
07/13/2007
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