Individual
JOHN GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7501 W DESCHUTES PL, KENNEWICK, WA 99336-7719
(509) 783-1960
(509) 783-7576
Mailing address
7501 W DESCHUTES PL, KENNEWICK, WA 99336-7719
(509) 783-1960
(509) 783-7576
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60147516
WA
Other
Enumeration date
10/17/2005
Last updated
03/18/2021
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