Individual
HOLLY GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11572 17TH AND C STREET, JOINT BASE LEWIS-MCCHORD, WA 98433
(253) 967-4989
(253) 967-7216
Mailing address
11572 C STREET, JBLM, WA 98433
(253) 967-4989
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
D161427317
WA
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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