Individual
MR. WILLIAM AUSTIN GILLAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
421 WEST OSAGE, PACIFIC, MO 63069-1332
(636) 257-5515
(636) 257-4433
Mailing address
421 WEST OSAGE, PACIFIC, MO 63069-1332
(636) 257-5515
(636) 257-4433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014341
MO
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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