Organization
CORNERSTONE DENTISTRY HOLDINGS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERE GILLAN (OWNER)
(321) 453-8882
Entity
Organization
Contact information
Practice address
800 E MERRITT ISLAND CSWY STE 105, MERRITT ISLAND, FL 32952-3514
(321) 453-8882
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/02/2017
Last updated
06/20/2023
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