Individual
GILLIAN V. KWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1112 HALF LEAGUE RD, PORT LAVACA, TX 77979
(361) 552-6916
(361) 552-6916
Mailing address
1112 HALF LEAGUE RD, PORT LAVACA, TX 77979
(361) 552-6916
(361) 552-6916
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16069
TX
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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