Organization
GILLESPIE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BRADLEY GILLESPIE DMD (PRESIDENT)
(360) 892-6132
Entity
Organization
Contact information
Practice address
13200 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-7040
(360) 892-6132
Mailing address
13200 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-7040
(360) 892-6132
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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