Individual
DR. WALTER ALLEN GILLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
208 SAINT CLAIRE PL, STEVENSVILLE, MD 21666-2170
(410) 643-8110
(410) 643-5311
Mailing address
208 SAINT CLAIRE PL, STEVENSVILLE, MD 21666-2170
(410) 643-8110
(410) 643-5311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07389
MD
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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