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Individual
DR. DANIEL JOHN GILL
Active
Individual
DR. DANIEL JOHN GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
010169
CT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
052166
CT
Other
Enumeration date
07/11/2007
Last updated
01/14/2014
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