Individual
DR. BRIAN MICHAEL GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 415-5705
Mailing address
2315 SAINT MARY DR, CAMP LEJEUNE, NC 28547-1316
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13003
MD
Other
Enumeration date
06/01/2007
Last updated
04/14/2025
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