Organization
HOLTON DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX C GILLILAND DDS (OWNER)
(785) 364-3038
Entity
Organization
Contact information
Practice address
1100 COLUMBINE DR, HOLTON, KS 66436-8841
(785) 364-3038
(785) 364-3037
Mailing address
1100 COLUMBINE DR, HOLTON, KS 66436-8841
(785) 364-3038
(785) 364-3037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60480
KS
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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