Individual
GENE R. GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
113 E 5TH ST, ALLIANCE, NE 69301-3407
(308) 762-1820
(308) 762-1827
Mailing address
PO BOX 607, ALLIANCE, NE 69301-0607
(308) 762-1820
(308) 762-1827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4645
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47067230500
—
NE
Enumeration date
11/08/2006
Last updated
07/08/2007
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