Organization
GILMORE FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY E GILMORE DMD (PRESIDENT)
(503) 364-7502
Entity
Organization
Contact information
Practice address
762 HIGH ST NE, SALEM, OR 97301-2440
(503) 364-7502
(503) 364-1254
Mailing address
762 HIGH ST NE, SALEM, OR 97301-2440
(503) 364-7502
(503) 364-1254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/05/2017
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