Individual
JUSTICE GERALD SHERIDAN PILGRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6455 MACHINE STREET, BLDG 2501, ABERDEEN PROVING GROUND, MD 21005
(406) 561-0626
Mailing address
6455 MACHINE STREET, BLDG 2501, ABERDEEN PROVING GROUND, MD 21005
(406) 561-0626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN-DEN-LIC-6024
MT
1223G0001X
General Practice Dentistry
Primary
DEN-DEN-LIC-6024
MT
Other
Enumeration date
08/12/2013
Last updated
08/25/2022
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