Individual
DR. KELLY EUGENE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
762 HIGH ST NE, SALEM, OR 97301-2440
(503) 364-7502
(503) 364-1254
Mailing address
762 HIGH ST NE, SALEM, OR 97301-2440
(503) 364-7502
(503) 364-1254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9901
OR
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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