CHARLES ROBERT GILLAM

ORANGE PARK, FL
NPI1184768475
Other NameBOB GILLAM
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: FL  DN16724)
Enumeration Date2007-02-19
Last Update Date2007-07-08
Business Address
Dr. CHARLES ROBERT GILLAM DMD
1695 WELLS RD
ORANGE PARK, FL 32073-6208
Phone number: 904-269-7004
Mailing Address
Dr. CHARLES ROBERT GILLAM DMD
600 SPARROW BRANCH CIR
JACKSONVILLE, FL 32259-5470
Phone number: 904-230-9571