Individual
QASIYM GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7511 NEW HAMPSHIRE AVE, TAKOMA PARK, MD 20912-6969
(301) 431-6883
(301) 579-0027
Mailing address
7511 NEW HAMPSHIRE AVE, TAKOMA PARK, MD 20912-6969
(301) 431-6883
(301) 579-0027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15394
MD
Other
Enumeration date
04/09/2014
Last updated
05/22/2025
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