DR. RUSSELL GILLIOM, D.D.S.

Dentist

Active Individual
NPI: 1417172321

Practice Address

230 E WHITLEY ST
Churubusco, IN 46723

Phone: (260) 693-2177

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 12007296 (IN)

Frequently Asked Questions

NPI 1417172321 is the National Provider Identifier for DR. RUSSELL GILLIOM, D.D.S., a Dentist provider located in Churubusco, IN. This NPI was enumerated on April 16, 2007.
DR. RUSSELL GILLIOM, D.D.S. practices at 230 E WHITLEY ST, Churubusco, IN 46723.

Quick Facts

NPI
1417172321
Type
Individual
Enumerated
Apr 16, 2007
Last Updated
Jan 14, 2008

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