Individual
DR. GEORGE DAVID GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
637 PARK BLVD, MARION, VA 24354-4223
(276) 783-5124
(276) 783-2170
Mailing address
637 PARK BLVD, MARION, VA 24354-4223
(276) 783-5124
(276) 783-2170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004849
VA
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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