Individual
MR. S BRADLEY GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13200 SE MCGILLIVRAY, VANCOUVER, WA 98683
(360) 892-6132
(360) 892-0297
Mailing address
13200 SE MCGILLIVRAY, VANCOUVER, WA 98683
(360) 892-6132
(360) 892-0297
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE8732
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5038690
DSHS
WA
Enumeration date
12/12/2006
Last updated
07/08/2007
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