Organization
GRANT K. GILLISH D.D.S., P.L.L.C.
Active
Other names
White Lake Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT GILLISH (OWNER/DENTIST)
(231) 893-2915
Entity
Organization
Contact information
Practice address
116 W COLBY ST STE 1, WHITEHALL, MI 49461-1084
(231) 893-2915
(231) 893-4719
Mailing address
116 W COLBY ST STE 1, WHITEHALL, MI 49461-1084
(231) 893-2915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020310
MI
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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