Individual
MR. STEPHEN B GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13200 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-7040
(360) 892-6132
(360) 892-0297
Mailing address
13200 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-7040
(360) 892-6132
(360) 892-0297
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5353
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5557301
DSHS
WA
Enumeration date
12/12/2006
Last updated
09/10/2010
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