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Organization
GRANT K. GILLISH D.D.S., P.L.L.C.
Active
Organization
GRANT K. GILLISH D.D.S., P.L.L.C.
Active
Other names
White Lake Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT GILLISH (OWNER/DENTIST)
(231) 893-2915
Entity
Organization
Contact information
Practice address
116 W COLBY ST STE 1, WHITEHALL, MI 49461-1084
(231) 893-2915
(231) 893-4719
Mailing address
116 W COLBY ST STE 1, WHITEHALL, MI 49461-1084
(231) 893-2915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020310
MI
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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