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Individual

DR. JEFFREY PAUL GILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
340 DOGWOOD AVE, SUITE 101, FRANKLIN SQUARE, NY 11010
(516) 565-2018
(516) 565-0820
Mailing address
340 DOGWOOD AVE, SUITE 101, FRANKLIN SQUARE, NY 11010
(516) 565-2018
(516) 565-0820

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
036741
NY

Other

Enumeration date
11/14/2006
Last updated
05/08/2015
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