Organization
GILL DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BERTOLLINI (PRS)
(866) 273-8204
Entity
Organization
Contact information
Practice address
3201 E GRAND RIVER AVE, LANSING, MI 48912-4749
(517) 333-3339
(517) 333-1734
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
(866) 803-4943
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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