Individual
DR. RAYMOND WILLIAAM GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
418 10TH AVE, CORALVILLE, IA 52241-2364
(319) 351-6611
Mailing address
1005 8TH ST, CORALVILLE, IA 52241-1709
(319) 351-4228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6243
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145912
—
IA
Enumeration date
04/14/2007
Last updated
07/08/2007
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