Individual
DR. GRANT KURTIS GILLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
116 W COLBY ST, SUITE 1, WHITEHALL, MI 49461-1083
(231) 893-2915
(231) 893-4719
Mailing address
116 W COLBY ST, SUITE 1, WHITEHALL, MI 49461-1083
(231) 893-2915
(231) 893-4719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020310
MI
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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