Individual
RALPH MAXWELL GILLHOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1978 HOLLAND AVE, PORT HURON, MI 48060
(810) 987-7511
(810) 987-7513
Mailing address
1978 HOLLAND AVE, PORT HURON, MI 48060
(810) 987-7511
(810) 987-7513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901009053
MI
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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