Individual
CLAIRE L GILL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
330 CHILOQUIN BLVD, CHILOQUIN, OR 97624-6773
(800) 246-7894
(541) 783-2028
Mailing address
3949 S 6TH ST, KLAMATH FALLS, OR 97603-4746
(800) 552-6290
(541) 880-0560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8409
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129861
—
OR
Enumeration date
07/26/2005
Last updated
03/07/2023
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