Individual
DR. EDWARD ROY GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10203 TANAGER LN, COLUMBIA, MD 21044-3904
(410) 730-3800
(410) 730-9665
Mailing address
8600 SNOWDEN RIVER PKWY, STE 106, COLUMBIA, MD 21045-1982
(410) 730-2020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4317
MD
Other
Enumeration date
06/21/2005
Last updated
07/15/2013
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