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Individual

DR. JANICE LYNN GILLESPIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
559 LAKE AVE, SAINT JAMES, NY 11780-1922
(631) 584-8924
(631) 584-8937
Mailing address
559 LAKE AVE, SAINT JAMES, NY 11780-1922
(631) 584-8924
(631) 584-8937

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
029499
NY

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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