Individual
DR. JOE WILLIAM GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
206 EAST VAUGHN AVE, RUSTON, LA 71270
(318) 255-7760
(318) 255-7696
Mailing address
206 EAST VAUGHN AVE, RUSTON, LA 71270
(318) 255-7760
(318) 255-7696
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2534
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1825344
—
LA
Enumeration date
08/20/2006
Last updated
07/08/2007
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