Individual
JOHN E. GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
15810 S 45TH ST STE 120, PHOENIX, AZ 85048-7695
(480) 753-1300
(480) 753-1302
Mailing address
15810 S 45TH ST STE 120, PHOENIX, AZ 85048-7695
(480) 753-1300
(480) 753-1302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5034
AZ
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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