Individual
DR. ROBERT NATHAN GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
652 HAMILTON RD, USA DENTAC, FT SILL, OK 73503
(580) 442-3905
(580) 442-4002
Mailing address
652 HAMILTON RD, USA DENTAC, FT SILL, OK 73503
(580) 442-3905
(580) 442-4002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE00010597
WA
1223E0200X
Endodontics
Primary
DE00010597
WA
Other
Enumeration date
08/15/2006
Last updated
07/27/2015
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