Individual
KAITLIN CAMPBELL GILLHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3219 N MACARTHUR BLVD STE 100, IRVING, TX 75062-8805
(756) 925-2972
Mailing address
2427 ALLEN ST APT 421, DALLAS, TX 75204-2553
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
39344
TX
Other
Enumeration date
06/01/2020
Last updated
07/31/2023
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