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Individual

RICHARD GILMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
442 W HIGH ST, SUITE 2, BRYAN, OH 43506-1681
(419) 636-3163
(419) 636-5037
Mailing address
442 W HIGH ST, SUITE 2, BRYAN, OH 43506-1681
(419) 636-3163
(419) 636-5037

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30014080
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0247718
OH
01
30014080
RICHARD GILMER-DELTA DENT
OH
01
980708
UCCI - RICHARD GILMER
OH
Enumeration date
09/29/2006
Last updated
07/09/2007
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