Individual
PAUL LAWRENCE GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1749 MALLORY LN, SUITE 245, BRENTWOOD, TN 37027-2931
(615) 370-8945
(615) 370-0765
Mailing address
1749 MALLORY LN, SUITE 245, BRENTWOOD, TN 37027-2931
(615) 370-8945
(615) 370-0765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS003776
TN
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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