Individual
DR. JOHN RYAN GILLELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4150 FIVE FORKS TRICKUM RD SW, LILBURN, GA 30047-3130
(770) 717-7225
Mailing address
4150 FIVE FORKS TRICKUM RD SW, LILBURN, GA 30047-3130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014809
GA
Other
Enumeration date
07/09/2014
Last updated
03/26/2015
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