CHARLES H GILLIAM

LUBBOCK, TX
NPI1205972924
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: TX  12571)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
-- CHARLES H GILLIAM DDS
6500 QUAKER AVE STE E
LUBBOCK, TX 79413-5138
Phone number: 806-797-1275
Mailing Address
-- CHARLES H GILLIAM DDS
6500 QUAKER AVE STE E
LUBBOCK, TX 79413-5138
Phone number: 806-797-1275