Organization
GILLIS FAMILY DENTISTRY LLC
Active
Parent organization
GILLIS FAMILY DENTISTRY LLC
Other names
Gillis Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
GILLIS FAMILY DENTISTRY LLC
Authorized official
KRYSTAL GILLIS DDS (OWNER)
(660) 624-1880
Entity
Organization
Contact information
Practice address
510 E GAY ST STE G, WARRENSBURG, MO 64093-3107
(660) 747-7950
Mailing address
510 E GAY ST STE G, WARRENSBURG, MO 64093-3107
(660) 624-1880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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