Individual
DR. GORDON SOULE KILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
4980 BARRANCA PKWY, SUITE 200, IRVINE, CA 92604-8645
(949) 551-6913
Mailing address
1843 PORT KIMBERLY PL, NEWPORT BEACH, CA 92660-6621
(949) 760-3636
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
43614
CA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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