Individual
DR. RALPH G GILLILAND, JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
425 PHILADELPHIA ST, INDIANA, PA 15701-3909
(724) 349-1184
(724) 463-1194
Mailing address
425 PHILADELPHIA ST, INDIANA, PA 15701-3909
(724) 349-1184
(724) 463-1194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS17416-L
PA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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