DR. BRENT GILLILAND, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1902890676
Practice Address
12TH AEROMEDICAL-DENTAL SQUADRON221 3RD STREET WEST
Randolph Afb, TX 78150
Phone: (210) 652-1846
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 13335 (TX) |
Frequently Asked Questions
NPI 1902890676 is the National Provider Identifier for DR. BRENT GILLILAND, D.D.S., a Dentist - General Practice provider located in Randolph Afb, TX. This NPI was enumerated on September 8, 2005.
DR. BRENT GILLILAND, D.D.S. practices at 12TH AEROMEDICAL-DENTAL SQUADRON, 221 3RD STREET WEST, Randolph Afb, TX 78150.
Quick Facts
- NPI
- 1902890676
- Type
- Individual
- Enumerated
- Sep 8, 2005
- Last Updated
- Jul 8, 2007
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