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Organization
ROBERT E. GILLIS, JR, DMD, MSD, A PROFESSIONAL CORPORATION
Active
Organization
ROBERT E. GILLIS, JR, DMD, MSD, A PROFESSIONAL CORPORATION
Active
Other names
Robert E. Gillis, Jr, DMD, MSD, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E GILLIS (DOCTOR)
(916) 731-5778
Entity
Organization
Contact information
Practice address
3000 L ST STE 205, SACRAMENTO, CA 95816-5248
(916) 731-5778
Mailing address
3000 L ST STE 205, SACRAMENTO, CA 95816-5248
(916) 731-5778
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
22070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B2207001
—
CA
Enumeration date
10/23/2007
Last updated
10/23/2007
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