Individual
CAROLINE L GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 RIDGEWOOD DR, SUITE B, BOWLING GREEN, OH 43402-2787
(419) 352-2593
(419) 354-4717
Mailing address
1221 RIDGEWOOD DR, SUITE B, BOWLING GREEN, OH 43402-2787
(419) 352-2593
(419) 354-4717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60419
KS
1223P0221X
Pediatric Dentistry
30023441
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200385990A
—
KS
Enumeration date
10/12/2006
Last updated
08/03/2011
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